MS. KRISTEN LARAMIE WAGONER (NPI# 1407104060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407104060 |
| Entity Type | Individual |
| Full Name | MS. KRISTEN LARAMIE WAGONER |
| Credential | NP |
| Practice Address |
500 Salem St Wilmington MA 01887-1200 |
| Mailing Address |
Po Box 760 Winchester MA 01890-4260 |
| Practice Telephone | 9789886000 |
| Practice Fax Number | 9786574169 |
| Mailing Telephone | 7817567273 |
| Mailing Fax Number | 7817210725 |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2016-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 2270616 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982057337 | Kristen G Wagoner | Developmental Therapist | 1595 S Calumet Rd, Suite #3, Chesterton, IN 46304-2388 | 2016-07-21 |
| 1265846141 | Kristen Wagoner | Counselor | 1101 E Washington Ave, Mcalester, OK 74501-4919 | 2014-06-18 |
| 1497024228 | Kristen Wagoner | Counselor | 445 Winn Way, Decatur, GA 30030-1707 | 2011-12-22 |
| Street Address |
500 SALEM ST |
| City | WILMINGTON |
| State | MA |
| Zip Code | 01887-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225029648 | Sandy Stephens | Pediatrics | 500 Salem St, Wilmington, MA 01887-1200 | 2005-11-03 |
| 1679031959 | Haley Govoni | Nurse Practitioner | 500 Salem St, Wilmington, MA 01887-1200 | 2019-03-06 |
| 1225487432 | Gayathry Sooriyakumar Nene | Pediatrics | 500 Salem St, Wilmington, MA 01887-1200 | 2016-06-08 |
| 1326398207 | Sara Marie Barnes | Audiologist-Hearing Aid Fitter | 500 Salem St, Route 62, Wilmington, MA 01887-1200 | 2012-09-18 |
| 1992944995 | Jessica Marie Delaney-sloper | Nurse Practitioner | 500 Salem St, Wilmington, MA 01887-1200 | 2009-02-13 |
| 1073637393 | Pamela Jean Cote | Dietitian, Registered | 500 Salem St, Winchester Hospital Family Medical Center, Wilmington, MA 01887-1200 | 2007-03-19 |
| 1790841591 | Wilmington Pediatrics, Inc. | Pediatrics | 500 Salem St, Wilmington, MA 01887-1200 | 2006-12-28 |
| 1669540415 | Sarah Kashi | Audiologist | 500 Salem St, Wilmington, MA 01887-1200 | 2006-12-01 |
| 1003856543 | Mark A Macklis | Obstetrics & Gynecology | 500 Salem St, Wilmington, MA 01887-1200 | 2006-06-06 |
| 1598721524 | Theodore Guldemond | Internal Medicine | 500 Salem St, Wilmington, MA 01887-1200 | 2006-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396208039 | Wilmington Rehab Center LLC | Skilled Nursing Facility | 90 West Street, Wilmington, MA 01887 | 2019-04-10 |
| 1912444159 | Myriam Mercedes Claudio Moser | Physical Therapist | 230 Lowell Street, Suite 2d, Wilmington, MA 01887 | 2017-01-26 |
| 1831430842 | Maribeth Crupi Physical Therpay LLC | Clinic/Center | 10 Elizabeth Drive, Wilmington, MA 01887 | 2013-03-15 |
| 1497027643 | Kristie Demirev | Social Worker | 113 West St, Wilmington, MA 01887 | 2012-02-03 |
| 1780828434 | Dental Care of Wilmington, LLC | Dentist | 66 Unit T Concord St, Wilmington, MA 01887 | 2009-04-25 |
| 1316191844 | Rem Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 187 Ballardvale Street, Suite 202, Wilmington, MA 01887 | 2008-11-11 |
| 1982894622 | Angie Faith Brenner | Social Worker | 5 Middlesex Ave., Suite 11, Wilmington, MA 01887 | 2007-07-30 |
| 1093847345 | Deborah Ann Edgerly | Dentist | 388 Rear Main Street, Wilmington, MA 01887 | 2007-03-12 |
| 1033240817 | Wilminton Public Schools | Local Education Agency (LEA) | 161 Church St., Wilmington, MA 01887 | 2007-03-07 |
| 1013046176 | Occupational Health Centers of The Southwest, P.a., Co. | Clinic/Center | 66b Concord St., Wilmington, MA 01887 | 2007-03-05 |
| Find all providers in zip 01887 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801403290 | Jennifer Stewart | Nurse Practitioner | 16 Stonehedge Dr, Wilmington, MA 01887-3191 | 2020-09-29 |
| 1841800562 | Chukwufumnanya Judith Ojo | Nurse Practitioner | 5233 W Woodmill Dr., Suite 46, Wilmington, DE 19808 | 2020-08-06 |
| 1932670734 | Crystal M Perry | Nurse Practitioner | 302 Shipley Rd Apt 701, Wilmington, DE 19809-3630 | 2018-12-06 |
| 1578072229 | Victoria A Varga | Nurse Practitioner | 900 Foulk Rd Ste 200, Wilmington, DE 19803-3155 | 2017-09-26 |
| 1477094365 | Jennifer Burris | Nurse Practitioner | 908-b East 16th Street, Wilmington, DE 19802 | 2017-03-13 |
| 1881083996 | Paradigm Healthcare Associates, Inc | Nurse Practitioner | 18 Kelso Ct, Wilmington, DE 19808-4307 | 2015-01-13 |
| 1003155623 | Geetanjali Chatterjee | Nurse Practitioner | 1400 N Washington St Ste 300, Wilmington, DE 19801-1024 | 2013-02-01 |
| 1437317518 | Allison Marie Thompson | Nurse Practitioner | 109 Monet Cir, Wilmington, DE 19808-1123 | 2008-05-27 |
| 1184820458 | Barbara E Harrison | Nurse Practitioner | 205 W. 14th Street, Suite 100a Swank Memory Care Center, Wilmington, DE 19801-0000 | 2007-06-25 |
| 1992924310 | Katherine Sawyer Mann | Nurse Practitioner | 1410 Commonwealth Dr Ste 100, Wilmington, NC 28403-0314 | 2007-04-24 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 01887 |
Please comment or provide details below to improve the information on MS. KRISTEN LARAMIE WAGONER.
| 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.