AMANDA WAGNER (NPI# 1366089914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366089914 |
| Entity Type | Individual |
| Full Name | AMANDA WAGNER |
| Practice Address |
120 S Barstow St Eau Claire WI 54701-3642 |
| Practice Telephone | 7158322221 |
| Mailing Telephone | 7158322221 |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2019-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707072 | Amanda Lynn Wagner | In Home Supportive Care | 158 Fairhome Ave, Clyde, OH 43410-2006 | 2020-10-12 |
| 1205478294 | Amanda Wagner | Marriage & Family Therapist | 7021 W 153rd St Ste 5, Orland Park, IL 60462-5397 | 2019-10-11 |
| 1144683574 | Amanda Wagner | Counselor | 900 Darlington Ave, Mahwah, NJ 07430-2526 | 2016-04-02 |
| 1659748911 | Amanda E Wagner | Clinical Neuropsychologist | 2000 Alameda De Las Pulgas Ste 242, San Mateo, CA 94403-1271 | 2015-08-21 |
| 1295090504 | Amanda Wagner | Speech-Language Pathologist | 120 Se 5th Ave, Apt 223, Boca Raton, FL 33432-5072 | 2012-07-12 |
| 1154399152 | Amanda Griffin Wagner | Psychologist | 11 Charlie Morris Rd Bldg 2, Colbert, GA 30628-2445 | 2006-03-08 |
| 1396365797 | Amanda Wagner | Pharmacist | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-04-26 |
| 1164058020 | Amanda C Wagner | Nurse Anesthetist, Certified Registered | 5645 Main St, Flushing, NY 11355-5045 | 2020-03-22 |
| 1780214320 | Amanda Wagner | Case Manager/Care Coordinator | 1744 Payne Ave, Cleveland, OH 44114-2910 | 2020-01-23 |
| 1972007441 | Amanda Marie Wagner | Student in an Organized Health Care Education/Training Program | 1664 N Virginia St, Reno, NV 89557-0001 | 2018-03-20 |
| Street Address |
120 S BARSTOW ST |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54701-3642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861562449 | Michael T Bauer | Counselor | 120 S Barstow St, Eau Claire, WI 54701-3642 | 2006-11-09 |
| 1083215503 | Katrina Lynn Bangen | Case Manager/Care Coordinator | 120 S Barstow St, Eau Claire, WI 54701-3642 | 2020-11-02 |
| 1235739541 | Ashley Jo Buss | Case Manager/Care Coordinator | 120 S Barstow St, Eau Claire, WI 54701-3642 | 2020-10-27 |
| 1023617750 | Sara Bedford | Case Manager/Care Coordinator | 120 S Barstow St, Eau Claire, WI 54701-3642 | 2020-10-23 |
| 1174137871 | Jade Downey | Social Worker | 120 S Barstow St, Eau Claire, WI 54701-3642 | 2020-09-01 |
| 1346853736 | Daramfon Okon | Case Manager/Care Coordinator | 120 S Barstow St, Eau Claire, WI 54701-3642 | 2020-08-26 |
| 1487266102 | Madison Gillis | Case Manager/Care Coordinator | 120 S Barstow St, Eau Claire, WI 54701-3642 | 2020-08-24 |
| 1649892258 | Megan Ann Bauer | Case Manager/Care Coordinator | 120 S Barstow St, Eau Claire, WI 54701-3642 | 2020-05-18 |
| 1528693843 | Brianna Leggate | Marriage & Family Therapist | 120 S Barstow St, Eau Claire, WI 54701-3642 | 2020-03-06 |
| 1962036707 | Evan J Andor | Case Manager/Care Coordinator | 120 S Barstow St, Eau Claire, WI 54701-3642 | 2020-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887563 | Molly Amanda Haferman | Pharmacist | 3184 London Road, Eau Claire, WI 54701 | 2020-09-24 |
| 1194375915 | Moments Hospice of Eau Claire LLC | Hospice Care, Community Based | 2263 East Ridge Center, Eau Claire, WI 54701 | 2019-09-13 |
| 1043778228 | Rita Marie Acosta | Emergency Medical Technician, Basic | 509 University Dr, Mcphee Atr, Eau Claire, WI 54701 | 2019-03-07 |
| 1619450954 | Michael Brown | Case Manager/Care Coordinator | 102 S Barstow St, Eau Claire, WI 54701 | 2018-09-12 |
| 1417436569 | Valerie Jayne Both | Social Worker | 1000 Starr Avenue, Eau Claire, WI 54701 | 2018-08-09 |
| 1023519055 | Rachel Delanois | Specialist/Technologist | Kinesiology --mcphee Physical Education Center 208, 509 University Drive, Eau Claire, WI 54701 | 2018-02-25 |
| 1427564863 | Matayla Springstroh | Specialist/Technologist | 509 University Drive, Eau Claire, WI 54701 | 2017-12-21 |
| 1265981062 | Molly Hart | Student in an Organized Health Care Education/Training Program | 509 University Dr., Eau Claire, WI 54701 | 2016-09-22 |
| 1982051918 | Renee Teigen-stary | Registered Nurse | 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 | 2016-05-19 |
| 1699104059 | Susan Marie Keller | Speech-Language Pathologist | 3656 Mull Dr., Dove Healthcare - South, Eau Claire, WI 54701 | 2013-11-06 |
| Find all providers in zip 54701 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396217014 | Jennifer Grace Joos | Case Manager/Care Coordinator | 2523 Diane Ln, Eau Claire, WI 54703 | 2018-12-19 |
| 1003382029 | Katelyn Marie Evanson | Case Manager/Care Coordinator | 4526 Hartzell Ln Apt 6, Eau Claire, WI 54703-7609 | 2018-10-17 |
| 1730664194 | Sara Jo Dunlavy | Case Manager/Care Coordinator | 3359 Midway St, Eau Claire, WI 54703-1168 | 2018-10-01 |
| 1811472699 | Bianca Danielle Winter | Case Manager/Care Coordinator | 1504 E Madison St, Eau Claire, WI 54703-3215 | 2018-09-27 |
| 1619450954 | Michael Brown | Case Manager/Care Coordinator | 102 S Barstow St, Eau Claire, WI 54701 | 2018-09-12 |
| 1083215503 | Katrina Lynn Bangen | Case Manager/Care Coordinator | 120 S Barstow St, Eau Claire, WI 54701-3642 | 2020-11-02 |
| 1235739541 | Ashley Jo Buss | Case Manager/Care Coordinator | 120 S Barstow St, Eau Claire, WI 54701-3642 | 2020-10-27 |
| 1023617750 | Sara Bedford | Case Manager/Care Coordinator | 120 S Barstow St, Eau Claire, WI 54701-3642 | 2020-10-23 |
| 1346853736 | Daramfon Okon | Case Manager/Care Coordinator | 120 S Barstow St, Eau Claire, WI 54701-3642 | 2020-08-26 |
| 1487266102 | Madison Gillis | Case Manager/Care Coordinator | 120 S Barstow St, Eau Claire, WI 54701-3642 | 2020-08-24 |
| Find all providers in EAU CLAIRE | ||||
| City | EAU CLAIRE |
| Zip Code | 54701 |
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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.