KIRSTEN E WAGNER (NPI# 1518925999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518925999 |
| Entity Type | Individual |
| Full Name | KIRSTEN E WAGNER |
| Credential | M.D. |
| Practice Address |
6067 Piney Grove Way Gainesville VA 20155-6671 |
| Practice Telephone | 9782394345 |
| Mailing Telephone | 9782394345 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2020-04-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
223761 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114390242 | Kirsten Wagner | Student in an Organized Health Care Education/Training Program | 10 Lightning Trl, Fairfield, PA 17320-9748 | 2015-11-11 |
| 1023507472 | Kirsten Suzanne Wagner | Speech-Language Pathologist | 3035 Wooster Rd, Rocky River, OH 44116 | 2018-05-01 |
| 1477948511 | Kirsten Wagner | Ophthalmology | 4151 Foothill Rd, Santa Barbara, CA 93110-1110 | 2015-04-06 |
| 1275648149 | Kirsten U Wagner | Nurse Practitioner | 4314 W Slauson Ave, Los Angeles, CA 90043 | 2006-08-20 |
| Street Address |
6067 PINEY GROVE WAY |
| City | GAINESVILLE |
| State | VA |
| Zip Code | 20155-6671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932689387 | Debbie Ruth Romero | Massage Therapist | Gainesville Holistic Health Center, 8006 Crescent Park Drive, Gainesville, VA 20155 | 2018-08-15 |
| 1821587114 | Anh T. Pham, Dds, General Dentistry, PC | Dentist | 7544 Gardner Park Dr., Gainesville, VA 20155 | 2018-05-02 |
| 1982118618 | Renew Counseling and Services | Social Worker | 14540 John Marshall Highway, Gainesville, VA 20155 | 2017-11-16 |
| 1952831745 | Lauren Gutta Matini | Dentist | 13801 Heathcote Blvd, 100, Gainesville, VA 20155 | 2017-06-14 |
| 1023546611 | Dentists of Gainesville, PC | Dentist | 8140 Stonewall Shops Square, Gainesville, VA 20155 | 2017-05-26 |
| 1538600036 | Prince William H&r Ops Limited Partnership | Skilled Nursing Facility | 14935 Holly Knoll Lane, Gainesville, VA 20155 | 2017-03-16 |
| 1396191870 | Isg Transport, LLC | Non-emergency Medical Transport (VAN) | 7653 Framingham Ct., Gainesville, VA 20155 | 2016-05-13 |
| 1831518356 | Alvorada Dentistry | Dentist | 13922 Estate Manor Drive, Gainesville, VA 20155 | 2014-04-11 |
| 1215352547 | Pamco Care LLC | Community/Behavioral Health | 7316 Respite Court, Gainesville, VA 20155 | 2014-02-24 |
| 1598109787 | Nader Nagy Hanna | Pharmacist | 14334 Broadwinged Dr, Gainesville, VA 20155 | 2013-04-18 |
| Find all providers in zip 20155 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851746069 | Hannah Elizabeth Morrissey | Psychiatry & Neurology | University of Florida Psychiatry Residency, 4037 Nw 86th Terrace, Gainesville, FL 32610-0001 | 2016-04-26 |
| 1114144672 | Joan Birnberg Pincus | Psychiatry & Neurology | 5930 Sw Archer Rd, Gainesville, FL 32608-4702 | 2007-04-19 |
| 1942656012 | Samar Abdel-jabbar | Psychiatry & Neurology | 4197 Nw 86th Ter, Gainesville, FL 32606-9278 | 2016-05-09 |
| 1518311836 | Meghan Starr Mayberry | Psychiatry & Neurology | 4037 Nw 86th Ter, Gainesville, FL 32606-9277 | 2016-04-22 |
| 1346621364 | Jaison Josekutty Nainaparampil | Psychiatry & Neurology | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2015-06-16 |
| 1730475047 | Anand Patel | Psychiatry & Neurology | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2011-06-24 |
| 1730494022 | Patricia A Hess Md Pa | Psychiatry & Neurology | 802 Nw 16th Ave, Ste A, Gainesville, FL 32601-4012 | 2010-08-11 |
| 1083802128 | Sang-wahn Koo | Psychiatry & Neurology | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2007-10-12 |
| 1114080983 | Richard D'alli | Psychiatry & Neurology | 1699 Sw 16th Ave, Gainesville, FL 32608-1158 | 2006-12-19 |
| 1780760496 | Alexis Gabrielle Touchton | Psychiatry & Neurology | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-10-27 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 20155 |
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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.