MISS BONNIE KAY WAGNER (NPI# 1326214362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326214362 |
Entity Type | Individual |
Full Name | MISS BONNIE KAY WAGNER |
Practice Address |
112 W Delaware St Apt.212 Fairfield IL 62837-2540 |
Practice Telephone | 6188424151 |
Mailing Telephone | 6188424151 |
Enumeration Date | 2008-04-30 |
Last Update Date | 2008-04-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 172A00000X | Driver | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942840277 | Bonnie K Wagner | Speech-Language Pathologist | 1501 12th Ave S, Nashville, TN 37203-4909 | 2020-01-15 |
1477740876 | Bonnie Lynne Wagner | Social Worker | 6765 Green Valley Rd, Placerville, CA 95667-8984 | 2007-09-28 |
Street Address |
112 W DELAWARE ST APT.212 |
City | FAIRFIELD |
State | IL |
Zip Code | 62837-2540 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881294619 | Katelyn Atteberry | Pharmacist | 150 Commerce Drive, Fairfield, IL 62837 | 2020-10-30 |
1265894521 | Rebecca August | Social Worker | 506 Nw 9th St, Fairfield, IL 62837 | 2016-03-25 |
1063814259 | Kathie L Hill | Social Worker | 303 Nw 11th St., Fairfield Memorial Hospital, Fairfield, IL 62837 | 2014-09-19 |
1912206731 | Way-fair Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 305 Northwest 11th Street, Fairfield, IL 62837 | 2011-03-18 |
1063600773 | Alvin Ewing | Counselor | 407 N. Basin Road, Fairfield, IL 62837 | 2007-10-09 |
1417145129 | Gilbert Tennyson | Counselor | 407 North Basin Rd, Fairfield, IL 62837 | 2007-10-09 |
1972791689 | Clint Harvey | Counselor | 407 North Basin Road, Fairfield, IL 62837 | 2007-10-09 |
1770789778 | Fairfield Estates, LLC | Point of Service | 315 North Market Street, Fairfield, IL 62837 | 2007-06-26 |
1346382207 | Robert E Lowry | Counselor | 407 N Basin Rd., Fairfield, IL 62837 | 2007-02-13 |
1790840825 | Bradley D Kramer | Dentist | 301 Nw 11th Street, Suite 212, Fairfield, IL 62837 | 2006-12-27 |
Find all providers in zip 62837 |
Taxonomy Code | 172A00000X |
Grouping | Other Service Providers |
Classification | Driver |
A person employed to operate a motor vehicle as a carrier of persons or property. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255780144 | Janet Hipolito-manuel | Driver | 1918 Leaning Oak Dr, Fairfield, CA 94534-6776 | 2016-06-10 |
1225380934 | Kennet Calderon | Driver | 2117 Vine Ct, Fairfield, CA 94533-5881 | 2012-10-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265033179 | Nakiesha Walton | Driver | 807 Ridge Dr # 520, Dekalb, IL 60115-1385 | 2020-11-06 |
1679173025 | Victoria Williams | Driver | 853 N Highland Ave Ste C, Aurora, IL 60506-2218 | 2020-10-27 |
1669088175 | Robert D Smith | Driver | 7400 Timbercrest Dr, Godfrey, IL 62035-2894 | 2020-09-20 |
1104435551 | Oluwagbenga Afiamoye Ojo | Driver | 6969 N Ashland Blvd Unit 101, Chicago, IL 60626-3354 | 2020-07-30 |
1780216622 | David Woods | Driver | 802 Mountaineer Ln Apt C, Marion, IL 62959-4132 | 2020-02-09 |
1619508843 | Tywan Thompson | Driver | 1329 Coldspring Rd, Carol Stream, IL 60188-4713 | 2020-01-27 |
1437789732 | Ruby Nelson | Driver | 14429 S Emerald Ave, Riverdale, IL 60827-2618 | 2020-01-25 |
1861030009 | National Center for Economics | Driver | 300 Read St Ste B, Lockport, IL 60441-3265 | 2019-12-18 |
1811530769 | Safeway Transportation Services Corp | Driver | 550 N Green Bay Rd Ste 1, Waukegan, IL 60085-3183 | 2019-10-23 |
1912548611 | Best Transportation & Logistics | Driver | 11958 S Paulina St, Calumet Park, IL 60827-5316 | 2019-10-03 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.