AMY WAGNER (NPI# 1376997890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376997890 |
| Entity Type | Individual |
| Full Name | AMY WAGNER |
| Credential | RN |
| Practice Address |
940 E 8th St Traverse City MI 49686-2893 |
| Mailing Address |
415 Cass St Suite 2a & 2d Traverse City MI 49684-2589 |
| Practice Telephone | 2319224810 |
| Practice Fax Number | 2319290416 |
| Mailing Telephone | 2319224810 |
| Mailing Fax Number | 2319432590 |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2016-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 4704231069 | MI | Nursing Service Providers |
| N | 163WC0400X |
Registered Nurse Specialization: Case Management |
4704231069 | MI | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1629431713 | 05 | |
| MI | 1184087272 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642937 | Amy Danielle Wagner | Marriage & Family Therapist | 523 Dixie St Ste 5, Carrollton, GA 30117-3870 | 2019-01-09 |
| 1649695628 | Amy L. Wagner | Behavioral Analyst | 1128 Beville Road, Suite A, Daytona Beach, FL 32114 | 2014-02-27 |
| 1538463997 | Amy Lyn Wagner | Occupational Therapist | 2820 E 53rd Ave, Apt # 48, Spokane, WA 99223-7962 | 2010-12-28 |
| 1710033097 | Amy E Wagner | Physical Therapist | 1428 S Marengo Ave, Alhambra, CA 91803-3001 | 2007-01-26 |
| 1568516698 | Amy Claire Wagner | Psychologist | 104 Central Park Ave, Wilmette, IL 60091-3202 | 2007-01-23 |
| 1174186217 | Amy Marie Wagner | Student in an Organized Health Care Education/Training Program | 6901 Bertner Ave, Houston, TX 77030-3901 | 2019-04-15 |
| 1639654437 | Amy Elizabeth Wagner | Speech-Language Pathologist | 631 Main Street, Richfield, PA 17086 | 2018-09-27 |
| 1568989697 | Amy S Wagner | Counselor | 3544 Edgewater Dr, Orlando, FL 32804-2922 | 2017-08-29 |
| 1942742804 | Amy Nicole Wagner | Nurse Practitioner | 150 N Robertson Blvd, Beverly Hills, CA 90211-2142 | 2016-11-09 |
| 1801340393 | Amy Wagner | Counselor | 2272 95th St, Unit 305, Naperville, IL 60564-8942 | 2016-08-12 |
| Street Address |
940 E 8TH ST |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49686-2893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629052196 | Addiction Treatment Services | Counselor | 940 E 8th St, Traverse City, MI 49686-2762 | 2005-11-30 |
| 1083064448 | Eric Bruce Haywood | Counselor | 940 E 8th St, Traverse City, MI 49686-2893 | 2016-06-16 |
| 1578917092 | Kyle Trumbull | Licensed Practical Nurse | 940 E 8th St, Traverse City, MI 49686-2893 | 2016-04-21 |
| 1740634260 | Becky Turner | Registered Nurse | 940 E 8th St, Traverse City, MI 49686-2893 | 2016-04-21 |
| 1124472642 | Rebecca Mcdermondt | Registered Nurse | 940 E 8th St, Traverse City, MI 49686-2893 | 2016-04-21 |
| 1316391832 | Deana Guy | Licensed Practical Nurse | 940 E 8th St, Traverse City, MI 49686-2893 | 2016-04-21 |
| 1588018006 | David Stetson | Registered Nurse | 940 E 8th St, Traverse City, MI 49686-2893 | 2016-04-21 |
| 1558715086 | Hannah Driver | Driver | 940 E 8th St, Traverse City, MI 49686-2893 | 2016-04-21 |
| 1184078602 | Mark Wisney | Registered Nurse | 940 E 8th St, Traverse City, MI 49686-2893 | 2016-04-21 |
| 1861846388 | Katherine Ingersoll | Licensed Practical Nurse | 940 E 8th St, Traverse City, MI 49686-2893 | 2016-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245877208 | Jessica Marie Glowacki | Behavior Technician | 935 Hemlock St, Traverse City, MI 49686 | 2019-12-09 |
| 1568011542 | Joanne Kressley | Technician | 1693 Maylane Apt. 104, Traverse City, MI 49686 | 2019-09-11 |
| 1194283846 | Pace North | PACE Provider Organization | 2325 Garfield Road N., Traverse City, MI 49686 | 2019-03-12 |
| 1245749225 | Margaret Anne Goss | Speech-Language Pathologist | 1105 E. Eighth Street, Traverse City, MI 49686 | 2017-09-22 |
| 1467981811 | Joan Joyce Shirilla | Social Worker | 2124 Twin Eagles Dr, Traverse City, MI 49686 | 2017-06-08 |
| 1770028763 | Rehab and Mobility Systems, LLC | Durable Medical Equipment & Medical Supplies | 707 Parsons, Traverse City, MI 49686 | 2016-12-29 |
| 1629511316 | Kaitlyn Grangood | Social Worker | 415 Munson Avenue, Ste 101, Traverse City, MI 49686 | 2016-11-29 |
| 1811441132 | Jeffrey D Goodwin | Counselor | 430 Fair St., Traverse City, MI 49686 | 2016-08-04 |
| 1053779918 | Thomas Osborne | Counselor | 2014 Phelps Rd., Traverse City, MI 49686 | 2016-02-08 |
| 1982079588 | Marsha Lynne Dallas | Counselor | 2240 South Airport Road, Traverse City, MI 49686 | 2015-12-08 |
| Find all providers in zip 49686 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1225506132 | James Edward Scarbrough IIi | Registered Nurse | 3619 Forest Lakes Dr, Traverse City, MI 49696-9119 | 2018-11-08 |
| 1619484524 | Elaine Lober | Registered Nurse | 1221 Sixth St Ste 210, Traverse City, MI 49684-2360 | 2018-01-02 |
| 1164957270 | Christtraude Croissant | Registered Nurse | 1919 Sequoia St, Traverse City, MI 49686-3045 | 2017-04-26 |
| 1396270427 | Sherry Cunningham | Registered Nurse | 2456 Holland Cir, Traverse City, MI 49685-7960 | 2017-04-26 |
| 1023559788 | Aaron Phillips | Registered Nurse | 1756 Dracka Rd, Traverse City, MI 49685-8818 | 2017-03-14 |
| 1134576853 | Paula Mclane | Registered Nurse | 2400 W Crown Dr Unit 1, Traverse City, MI 49685-6715 | 2016-05-23 |
| 1740641117 | Tressa Orlowksi | Registered Nurse | 3333 Mahoney Dr, Traverse City, MI 49696-9187 | 2016-03-14 |
| 1760848618 | Dawn Kettler | Registered Nurse | 1291 E Harvest, Traverse City, MI 49685-8625 | 2016-01-07 |
| 1659754331 | Jennifer Maue | Registered Nurse | 526 Boardman View Dr, Traverse City, MI 49696-8826 | 2015-06-30 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49686 |
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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.