SARAH WAGNER (NPI# 1356841910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356841910 |
| Entity Type | Individual |
| Full Name | SARAH WAGNER |
| Credential | APN |
| Practice Address |
8345 Wicker Ave Saint John IN 46373-8879 |
| Mailing Address |
Po Box 781076 Detroit MI 48278-1076 |
| Practice Telephone | 2193655577 |
| Practice Fax Number | 2193659037 |
| Mailing Telephone | 3175284800 |
| Mailing Fax Number | 3178651479 |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2020-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71007887A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
28223493A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300012545 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1225 E Coolspring Ave, Michigan City, IN 463606312 | 2198732919 | 2198732909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235557133 | Sarah Wagner | Occupational Therapist | 840 Benmosche Rd., Harris, NY 12742 | 2014-03-29 |
| 1588081707 | Sarah Wagner | Social Worker | 51 E 3rd St, Dunkirk, NY 14048-2201 | 2014-03-26 |
| 1922435668 | Sarah J Wagner | Counselor | 371 North Main Street, Second Floor, Butler, PA 16001 | 2013-09-26 |
| 1659986859 | Sarah Wagner | Behavior Technician | 6475 Sierra Ln, Dublin, CA 94568-2796 | 2020-09-14 |
| 1700442738 | Sarah L Wagner | Physician Assistant | 421 Chestnut St, Evansville, IN 47713-1227 | 2019-05-15 |
| 1083187165 | Sarah Ruth Wagner | Nurse Practitioner | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2019-01-10 |
| 1679044283 | Sarah N Wagner | Licensed Practical Nurse | 454 Broadway, Revere, MA 02151-3034 | 2018-12-07 |
| 1891279360 | Sarah Wagner | Physical Therapist | 1377 11th St Nw, Clinton, IA 52732-5068 | 2018-09-20 |
| 1528580214 | Sarah Wagner | Physical Therapist | 121 Boatyard Dr, Fort Bragg, CA 95437-5751 | 2017-07-13 |
| 1598292088 | Sarah E Wagner | Counselor | 3132 Jefferson St, San Diego, CA 92110-4421 | 2017-05-16 |
| Street Address |
8345 WICKER AVE |
| City | SAINT JOHN |
| State | IN |
| Zip Code | 46373-8879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548575384 | Sarah Rivera | Nurse Practitioner | 8345 Wicker Ave, Saint John, IN 46373-8879 | 2010-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023641123 | Lisa A Arteaga | Occupational Therapy Assistant | 10700 Park Place of St John, St John, IN 46373 | 2020-02-17 |
| 1306493507 | Athletico Ltd | Physical Therapist | 10081 Wicker Ave #4, Saint John, IN 46373 | 2019-08-22 |
| 1083014971 | Courtney Olavarria | Registered Nurse | 8915 West 93rd Avenue, Clark Middle School, Saint John, IN 46373 | 2014-08-27 |
| 1316368111 | Tracy Lynn Wargo | Registered Nurse | 8801 Wicker Ave., Kolling Elementary, St. John, IN 46373 | 2013-12-20 |
| 1245587989 | Joshua Dejong | Physical Therapist | 10200 Wicker Ave Ste 1, Saint John, IN 46373 | 2012-08-13 |
| 1053406629 | Corlin Alden Stein | Chiropractor | 9161 Wicker Avenue (us 41), St. John, IN 46373 | 2006-10-03 |
| 1235190216 | Tarak R Chokshi | Internal Medicine | 10200 Wicker Avenue, St John, IN 46373 | 2006-03-30 |
| 1154397057 | Norbert A Matulis | Dentist | 9207 Wicker Avenue, St John, IN 46373 | 2006-02-28 |
| 1568462729 | Keith R. Pitchford | Orthopaedic Surgery | 9615 Keilman Street, Saint John, IN 46373 | 2005-07-28 |
| 1528483021 | Creating Smiles PC | Dentist | 8217 Wicker Ave, St John, IN 46373 | 2014-02-20 |
| Find all providers in zip 46373 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669946489 | Samara Ruder | Nurse Practitioner | 8183 Magoun Dr, Saint John, IN 46373-8888 | 2019-01-15 |
| 1548575384 | Sarah Rivera | Nurse Practitioner | 8345 Wicker Ave, Saint John, IN 46373-8879 | 2010-08-17 |
| 1811521834 | Angela Marie Vittorio-wilson | Nurse Practitioner | 10860 Maple Ln, Saint John, IN 46373-8418 | 2020-02-28 |
| 1457825325 | Joanne Weisz | Nurse Practitioner | 9660 Wicker Ave, Saint John, IN 46373-9487 | 2019-01-14 |
| 1093284838 | Alicia Fowler | Nurse Practitioner | 9660 Wicker Ave, Saint John, IN 46373-9487 | 2018-11-22 |
| 1245274935 | Marne J Juestel | Nurse Practitioner | 9660 Wicker Ave, Saint John, IN 46373-9487 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244176 | Mallory Lee Anslow | Nurse Practitioner | 10641 Deercrest Ln, Indianapolis, IN 46239-9690 | 2020-10-29 |
| 1285234237 | Vb Medical Group LLC | Nurse Practitioner | 10047 Whispering Wind Dr, Greenville, IN 47124-9704 | 2020-10-29 |
| 1518566397 | Stacey Renee Pulver | Nurse Practitioner | 13134 Hollow Oak Rd, Fort Wayne, IN 46845-2327 | 2020-10-22 |
| 1578162459 | Kourtney Marie Terry | Nurse Practitioner | 128 Miner Rd, Avilla, IN 46710-9690 | 2020-10-21 |
| 1780283630 | Dana L Yergler | Nurse Practitioner | 16632 Linfield Ct, Granger, IN 46530-7012 | 2020-10-21 |
| 1730788720 | Camille Mae Carl | Nurse Practitioner | 6441 Anna Louise Dr, Charlestown, IN 47111-8797 | 2020-10-20 |
| 1124626585 | Dustin Mikesell | Nurse Practitioner | 1000 E Main St Ste 104, Danville, IN 46122-1948 | 2020-10-16 |
| 1144828799 | Mina Desai-patel | Nurse Practitioner | 14698 Drayton Dr, Noblesville, IN 46062-8230 | 2020-10-15 |
| 1649878554 | Heather Ormiston-leclear | Nurse Practitioner | 3800 N Anthony Blvd # Cc1335, Fort Wayne, IN 46805-1430 | 2020-10-13 |
| 1023616125 | Kimberly Dawn Calloway | Nurse Practitioner | 5306 E Blocher Rd, Lexington, IN 47138-8803 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
| City | SAINT JOHN |
| Zip Code | 46373 |
Please comment or provide details below to improve the information on SARAH WAGNER.
| 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.