CHRISTA M WAGNON


Address: 201 Cedar St Se Ste 4600, Albuquerque, NM 87106-4925
Phone: 5055636450

CHRISTA M WAGNON (NPI# 1508370651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508370651
Entity Type Individual
Full Name CHRISTA M WAGNON
Credential RN, FNP
Practice Address 201 Cedar St Se Ste 4600
Albuquerque
NM 87106-4925
Mailing Address Po Box 26666
Phs Provider Enrollment
Albuquerque
NM 87125-6666
Practice Telephone 5055636450
Practice Fax Number 5055636484
Mailing Telephone 5059236770
Mailing Fax Number 5059235354
Enumeration Date 2017-11-28
Last Update Date 2018-04-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner CNP-03457 NM Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
CNP-03457 NM Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM 80301398 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
2211 Lomas Blvd Ne, Albuquerque, NM 871062719 5052722111

Office Location

Street Address 201 CEDAR ST SE STE 4600
City ALBUQUERQUE
State NM
Zip Code 87106-4925

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902990385 Joseph N Onyia Otolaryngology 201 Cedar St Se Ste 4600, Albuquerque, NM 87106-4925 2006-10-03
1891040978 Benjamin Holley Nurse Practitioner 201 Cedar St Se Ste 4600, Albuquerque, NM 87106-4925 2012-07-16
1326256967 Michael Webster Criddle Otolaryngology 201 Cedar St Se Ste 4600, Albuquerque, NM 87106-4925 2007-05-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629679808 Jorge Licano Student in an Organized Health Care Education/Training Program Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 2020-11-04
1730780032 Joseph Sanchez Student in an Organized Health Care Education/Training Program (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 2020-11-03
1336746205 Evan Laub Pharmacist 2950 Central Ave. Sw, Albuquerque, NM 87106 2020-10-05
1487203154 Theresa Martinez Technician 5680 Avedon Dr. Se, Albuquerque, NM 87106 2019-09-05
1205300647 Louis Mayer II Specialist/Technologist 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 2019-01-18
1235633355 Terrena Grace Vigil Brady Occupational Therapist 1001 Yale Blvd, Albuquerque, NM 87106 2018-03-22
1205355195 Yaritza Ruiz Specialist/Technologist 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 2017-09-12
1457873382 Cynthia Bluhm Registered Nurse 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 2017-07-12
1295265882 Hallie Chancellor Behavior Technician 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 2017-06-15
1780111757 Jiana Hook Physical Medicine & Rehabilitation 1414 University Blvd. Se, Albuquerque, NM 87106 2017-05-22
Find all providers in zip 87106

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720606882 Mountain Desert Health LLC Nurse Practitioner 2200 Panola St Sw, Albuquerque, NM 87121-2582 2020-07-06
1912538844 Lorine Derusha Nurse Practitioner 625 Silver Ave Sw Fl 2, Albuquerque, NM 87102-3123 2020-01-29
1295374247 Thomas William Cox Nurse Practitioner 12812 Constitution Ave Ne Apt 2, Albuquerque, NM 87112-6142 2019-12-21
1730720632 Carmen Caterina Marcolina Nurse Practitioner 4201 Central Ave Nw # 3, Albuquerque, NM 87105-1630 2019-10-01
1700349834 Heather Marie Pink Nurse Practitioner 7802b Ironwood Ct Se, Albuquerque, NM 87116-1135 2019-04-06
1467936187 New Mexico Health Care Clinicians LLC Nurse Practitioner 3911 4th St Nw Ste A, Albuquerque, NM 87107-2510 2018-09-18
1609354398 Marisa Escobar Nurse Practitioner 3613 State Hwy 528 Nw, Albuquerque, NM 87114-8918 2018-08-03
1154807725 Andrea Chavez-benavidez Nurse Practitioner 6201 Jefferson St Ne Ste 103, Albuquerque, NM 87109-3431 2018-07-17
1356842488 Jopaul Valles Nurse Practitioner 407 Solano Dr Ne, Albuquerque, NM 87108-1045 2018-02-23
1275045700 Janna Rorebeck Nurse Practitioner 6804 Calle Santiago Ne, Albuquerque, NM 87113-1217 2017-10-24
Find all providers in ALBUQUERQUE

Competitor

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City ALBUQUERQUE
Zip Code 87106

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Dataset Information

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.

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