MS. GRETCHEN MARIE WAGNITZ (NPI# 1518445899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518445899 |
| Entity Type | Individual |
| Full Name | MS. GRETCHEN MARIE WAGNITZ |
| Credential | MS, LAT, ATC |
| Practice Address |
108 N 40th St Phoenix AZ 85034-1704 |
| Practice Telephone | 6022868904 |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0861 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
108 N 40TH ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85034-1704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891733077 | Nancy Elaine Dunn | Registered Nurse | 108 N 40th St, Phoenix, AZ 85034-1704 | 2006-06-02 |
| 1578728762 | Julie Ann Burns | Registered Nurse | 108 N 40th St, Phoenix, AZ 85034-1704 | 2008-07-28 |
| 1831391697 | Kirsten Virginia Berdahl | Physical Therapist | 108 N 40th St, Phoenix, AZ 85034-1704 | 2007-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093208340 | Curtis James Bierscheid | Physical Therapist | 1828 E Sky Harbor Circle North, Building 2, Suite 150, Phoenix, AZ 85034 | 2018-06-12 |
| 1437654969 | Genoa Healthcare, LLC | Pharmacy | 1035 E Jefferson St Ste P1, Phoenix, AZ 85034 | 2018-03-27 |
| 1659871697 | Us Careways-phx | Clinic/Center | 3800 E Sky Harbor Blvd, Phoenix, AZ 85034 | 2018-02-16 |
| 1053854638 | Josiah Nnadozie Nwaokwa | Nurse Practitioner | 1035 E Jefferson Street, La Frontera -empact Spc, Phoenix, AZ 85034 | 2016-11-30 |
| 1568869915 | Lacee Johnson | Speech-Language Pathologist | 5025 E Washington Street, Suite 212, Phoenix, AZ 85034 | 2014-12-01 |
| 1679974406 | Jagdeep Bains | Pharmacist | 5324 E Washington St, #a, Phoenix, AZ 85034 | 2014-09-11 |
| 1275885030 | Nancy Louise Brewer | Nurse Practitioner | 3800 E Sky Harbor Blvd Fl T4, Phoenix, AZ 85034 | 2012-10-03 |
| 1386928414 | The Facts of Life Grouphome, Inc | Community/Behavioral Health | 1122 E. Buckeye Road, Phoenix, AZ 85034 | 2011-10-07 |
| 1649559832 | Us Medgroup Pa | Clinic/Center | 901 East Jefferson St, Phoenix, AZ 85034 | 2011-08-05 |
| 1689979106 | Latanya King | Counselor | 1122 East Buckeye Road, Suite B-1, Phoenix, AZ 85034 | 2011-01-13 |
| Find all providers in zip 85034 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255947735 | Leslie Fernanda Jimenez Terrazas | Specialist/Technologist | 5213 W Vernon Ave, Phoenix, AZ 85035-1950 | 2020-09-19 |
| 1649886219 | Shannon Brittany Addington | Specialist/Technologist | 901 E Van Buren St Apt 2021, Phoenix, AZ 85006-4030 | 2020-09-18 |
| 1477169282 | Deborah Carter | Specialist/Technologist | 5346 N. 29th Ave., Phoenix, AZ 85017 | 2020-09-17 |
| 1083220065 | Ashley Medeiros | Specialist/Technologist | 2926 E. Encanto Blvd., Phoenix, AZ 85009 | 2020-09-16 |
| 1386269454 | Alexis Ileana Encarnacion | Specialist/Technologist | 375 E Virginia Ave Ste B, Phoenix, AZ 85004-1202 | 2020-06-14 |
| 1316568470 | Daria Bickham | Specialist/Technologist | 18401 N 32nd St, Phoenix, AZ 85032-1210 | 2020-04-29 |
| 1255970059 | Lauren Berryhill | Specialist/Technologist | 510 W Gary Way, Phoenix, AZ 85041-8051 | 2019-12-27 |
| 1407490113 | Aubree 031854585 Begay-houston | Specialist/Technologist | 4232 N 3rd Ave Apt 4, Phoenix, AZ 85013-3093 | 2019-11-05 |
| 1316597396 | Aaron Hoback | Specialist/Technologist | 3805 N 53rd Ave, Phoenix, AZ 85031-3046 | 2019-09-12 |
| 1942858345 | Roxanne Reynolds | Specialist/Technologist | 5445 E Yale St, Phoenix, AZ 85008-1711 | 2019-08-28 |
| Find all providers in PHOENIX | ||||
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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.