JENNIFER R WAGNER (NPI# 1609980093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609980093 |
| Entity Type | Individual |
| Full Name | JENNIFER R WAGNER |
| Other Name | JENNIFER R FEINBERG |
| Credential | PA-C |
| Practice Address |
20201 Ne 21st Ave Miami FL 33179-2804 |
| Practice Telephone | 3059874443 |
| Mailing Telephone | 3055322411 |
| Mailing Fax Number | 3055329793 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2014-12-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9101701 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508392135 | Jennifer Wagner | Counselor | 702 Holly St, Atlanta, TX 75551-2308 | 2017-05-02 |
| 1881050607 | Jennifer Wagner | Social Worker | 800 S Milwaukee Ave Ste 105, Libertyville, IL 60048-3268 | 2016-01-08 |
| 1093117731 | Jennifer Ann Wagner | Speech-Language Pathologist | 700 Missouri Ave, Jeffersonville, IN 47130-3082 | 2014-09-25 |
| 1578843694 | Jennifer Wagner | Social Worker | 418 Grace Ln, Austin, TX 78746-4813 | 2011-08-19 |
| 1356504674 | Jennifer Kathleen Wagner | Orthopaedic Surgery | 4401 Garth Rd Ste 200, Baytown, TX 77521-2122 | 2008-07-07 |
| 1790956258 | Jennifer Camden Wagner | Physical Therapist | 2904 Hickory Ct, Woodridge, IL 60517-4501 | 2008-03-12 |
| 1619165669 | Jennifer Lynn Wagner | Registered Nurse | 6020 Musketeer Dr, Cincinnati, OH 45248-3035 | 2007-10-03 |
| 1679767396 | Jennifer L Wagner | Audiologist | 2035 Commerce Dr Ste 208, Bluffton, IN 46714-9295 | 2007-09-06 |
| 1760674386 | Jennifer Lynn Wagner | Occupational Therapist | 206 Deerlea Ln, Boonton, NJ 07005-9511 | 2007-08-16 |
| 1033188412 | Jennifer Ann Wagner | Registered Nurse | 1550 Wildwood Dr, Plain, WI 53577-9644 | 2006-03-16 |
| Street Address |
20201 NE 21ST AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33179-2804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467846956 | Jennifer Wagner Inc | Physician Assistant | 20201 Ne 21st Ave, Miami, FL 33179-2804 | 2015-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619531365 | Bianca Dorce | Nurse Practitioner | 20036 Ne 2nd Pl, Miami, FL 33179 | 2019-04-29 |
| 1790254027 | Linda Rachel Topel | Family Medicine | 1911 Ne 197 Terrace, North Miami Beach, FL 33179 | 2018-11-15 |
| 1427542356 | Arianne Monal | Assistant Behavior Analyst | 447 Ne 210th Circle Ter Apt 202, Miami, FL 33179 | 2018-06-14 |
| 1588152268 | Carvil's Professional Service | Case Management | 1311 Ne 210 Ter, Miami, FL 33179 | 2018-04-27 |
| 1407363997 | Martha Acosta | Behavioral Analyst | 1160 Ne 214th St, Miami, FL 33179 | 2018-01-05 |
| 1730698697 | Jacqueline Stone | Dietitian, Registered | 1895 Ne 197th Ter, Miami, FL 33179 | 2017-09-23 |
| 1912420647 | Barbara Ann Hunter | Social Worker | 20170 Ne 3 Court Unit 1, Miami, FL 33179 | 2017-07-25 |
| 1356875660 | Germanie Marlene Casanova | Counselor | 1300 Ne 204 Street, Miami, FL 33179 | 2017-04-13 |
| 1164962494 | Lilliana Vazquez-rivera Md LLC | Internal Medicine | 382 Ne 191st St, #74432, Miami, FL 33179 | 2017-03-06 |
| 1437606027 | Marjorie Jadotte | Nurse Practitioner | 20826 San Simeon Way Unit 51 L, North Miami Beach, FL 33179 | 2016-09-01 |
| Find all providers in zip 33179 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003178 | Mohammed Bilal Sheikh | Physician Assistant | 2920 Ne 207th St Ste 901, Miami, FL 33180-1444 | 2020-11-04 |
| 1043820889 | Dave Norman Caldera Jr. | Physician Assistant | 5440 Sw 150th Ct, Miami, FL 33185-4012 | 2020-08-06 |
| 1003432063 | Nicole Marlene Socarras | Physician Assistant | 8585 Sunset Dr Ste 108, Miami, FL 33143-3746 | 2020-06-24 |
| 1245854504 | Laurent Augustin | Physician Assistant | 15608 Sw 112th Dr, Miami, FL 33196-4391 | 2020-06-02 |
| 1780213363 | Amanda C. Fisher | Physician Assistant | 175 Sw 7th St Ste 24082409, Miami, FL 33130-2992 | 2020-04-06 |
| 1184258279 | Ryan Walker | Physician Assistant | 175 Sw 7th St Ste 1100, Miami, FL 33130-2951 | 2020-02-27 |
| 1033749015 | Christy Anne Perez | Physician Assistant | 41 Se 5th St Apt 2215, Miami, FL 33131-2550 | 2020-01-18 |
| 1689204729 | Nathali Eiranova | Physician Assistant | 14735 Sw 36th Ter, Miami, FL 33185-3913 | 2020-01-16 |
| 1649810623 | Jeanine Marie Cuervo | Physician Assistant | 15543 Sw 55th Ter, Miami, FL 33185-4176 | 2020-01-08 |
| 1649814930 | Danette Blanco | Physician Assistant | 3930 Nw 2nd St, Miami, FL 33126-5712 | 2019-10-30 |
| Find all providers in MIAMI | ||||
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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.