NANCY MICHELE WAGNER (NPI# 1326493891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326493891 |
| Entity Type | Individual |
| Full Name | NANCY MICHELE WAGNER |
| Credential | ARNP |
| Practice Address |
2105 112th Ave Ne Ste 201 Bellevue WA 98004-2945 |
| Practice Telephone | 4259685948 |
| Mailing Telephone | 4259685948 |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2019-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 121853 | CT | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | RN60657515 | WA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP60677444 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4205 148th Ave Ne Ste 103, Bellevue, WA 980077114 | 4259685948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164767752 | Nancy Wagner | Behavioral Analyst | 3605 W Pioneer Pkwy, Suite C, Pantego, TX 76013-4598 | 2012-12-07 |
| 1295863215 | Nancy Elizabeth Wagner | Counselor | 2408 E Pecos Rd, Phoenix, AZ 85048-8272 | 2007-03-01 |
| 1871792713 | Nancy Anne Wagner | Nurse Practitioner | 1300 Miccosukee Road, Hospitalist Group, Tallahassee, FL 32308-4646 | 2007-07-12 |
| 1699986521 | Nancy J Wagner | Ophthalmology | 151 Meadowcrest St, Ste A, Gretna, LA 70056-5256 | 2007-05-24 |
| 1306050729 | Nancy Wagner | Dietitian, Registered | 528 Washington Hwy, Morrisville, VT 05661-8973 | 2007-05-09 |
| 1952483604 | Nancy Wagner | Psychologist | 200 University Ave E, Saint Paul, MN 55101-2507 | 2006-10-20 |
| Street Address |
2105 112TH AVE NE STE 201 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-2945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891927000 | Katherine Amanda Ko | Nurse Practitioner | 2105 112th Ave Ne Ste 201, Bellevue, WA 98004-2945 | 2009-08-20 |
| 1891325031 | Adagio Psychiatric Services | Psychiatry & Neurology | 2105 112th Ave Ne Ste 201, Bellevue, WA 98004-2945 | 2020-01-15 |
| 1922587328 | Eastside Play Therapy | Counselor | 2105 112th Ave Ne Ste 201, Bellevue, WA 98004-2945 | 2018-08-07 |
| 1275826638 | Kristina Maria Perry | Counselor | 2105 112th Ave Ne Ste 201, Bellevue, WA 98004-2945 | 2011-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659747269 | Sarah Yeates | Nurse Practitioner | 15015 Se 15th St, Bellevue, WA 98007-5802 | 2015-08-18 |
| 1750704623 | Joseph Gavis Councill IIi | Nurse Practitioner | 919 Galvin Rd. S., Suite A, Bellevue, NE 68005 | 2014-01-29 |
| 1356778583 | Elizabeth Mueller | Nurse Practitioner | 4205 148th Ave Ne Ste 103, Bellevue, WA 98007-7114 | 2013-10-02 |
| 1790056554 | Lisa Peterson | Nurse Practitioner | 12629 Se 54th St, Bellevue, WA 98006-2916 | 2012-01-25 |
| 1891927000 | Katherine Amanda Ko | Nurse Practitioner | 2105 112th Ave Ne Ste 201, Bellevue, WA 98004-2945 | 2009-08-20 |
| 1043348006 | Eva Faye Dee Hiatt | Nurse Practitioner | 4957 Lakemont Blvd, Suite C-4 Box #202, Bellevue, WA 98006 | 2007-03-01 |
| 1780779827 | Jessica Lee Jajesnica | Nurse Practitioner | 1240 116th Ave Ne, Bellevue, WA 98004-3815 | 2006-10-04 |
| 1962047811 | Ann M Griffin | Nurse Practitioner | 3801 150th Ave Se, Bellevue, WA 98006-1668 | 2019-11-14 |
| 1275182396 | Claire Anne Streeter | Nurse Practitioner | 400 108th Ave Ne Ste 700, Bellevue, WA 98004-8425 | 2019-09-11 |
| 1073071437 | Faduma Abdirahman Haji Ali | Nurse Practitioner | 1800 112th Ave Ne # 150w, Bellevue, WA 98004-2993 | 2019-03-05 |
| Find all providers in BELLEVUE | ||||
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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.