ANNA WAGNER (NPI# 1689283269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689283269 |
| Entity Type | Individual |
| Full Name | ANNA WAGNER |
| Practice Address |
3900 S Lee Maur St West Valley City UT 84119-4506 |
| Practice Telephone | 4402581580 |
| Mailing Telephone | 4402581580 |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2020-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | UTAH DOPL | 10756382-3102 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912990003 | Anna S. Wagner | Family Medicine | 801 Nw Saint Mary Dr, Suite 101, Blue Springs, MO 64014-2524 | 2005-08-24 |
| 1497307557 | Anna Wagner | Nurse Practitioner | 7121 S Padre Island Dr Ste 300, Corpus Christi, TX 78412-4940 | 2019-07-09 |
| 1598855249 | Anna Marie Wagner | Physical Therapist | 592 Fieldstown Rd, Suite 108, Gardendale, AL 35071-3414 | 2006-10-13 |
| Street Address |
3900 S LEE MAUR ST |
| City | WEST VALLEY CITY |
| State | UT |
| Zip Code | 84119-4506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164981932 | Arches Home Care, Inc. | Non-emergency Medical Transport (VAN) | 1385 W 2200 S Ste 203, West Valley City, UT 84119 | 2019-03-19 |
| 1629591003 | Exemplar Healthcare, Inc. | Hospice Care, Community Based | 1385 W 2200 S Ste 202, West Valley City, UT 84119 | 2017-07-18 |
| 1619358496 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 2875 S Decker Lake Dr Ste 180, West Valley City, UT 84119 | 2015-06-17 |
| 1821407735 | Nathan William Stobbe | Dentist | 3280 W. 3500 S. Ste 3, West Valley, UT 84119 | 2014-08-05 |
| 1801209028 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3148 W 3500 S, West Valley City, UT 84119 | 2014-06-05 |
| 1215347935 | Karl Edward Jennings | Social Worker | 3901 S David Pl, West Valley City, UT 84119 | 2014-05-02 |
| 1750624672 | Shannon Quinn Dunlop | Registered Nurse | 2621 S 3270 W, West Valley City, UT 84119 | 2013-03-28 |
| 1215273529 | Holly H Tanski | Counselor | 5770 S. 1500 W. Bld A, Ihc Wasatch Canyons Campus, Salt Lake City, UT 84119 | 2012-12-14 |
| 1982955860 | Oquirrh Meadows Care and Rehab, Inc | Assisted Living Facility | 2948 So. Redwood Road, West Valley City, UT 84119 | 2012-10-02 |
| 1518235068 | Asjad Kaleem Mohammed | Pharmacist | 2290 S Redwood Road, Olive Pharmacy, Salt Lake City, UT 84119 | 2011-12-12 |
| Find all providers in zip 84119 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386241560 | Rebecca Nay | Student in an Organized Health Care Education/Training Program | 4052 West 3390 South, Suite 105, West Valley City, UT 84120-2049 | 2020-10-01 |
| 1801405071 | Jenny Pauline Prettyman | Student in an Organized Health Care Education/Training Program | 3638 W Jasmine St, West Valley City, UT 84120-5518 | 2020-07-23 |
| 1689299653 | Jocelyn Cortez | Student in an Organized Health Care Education/Training Program | 3640 S 6800 W, West Valley City, UT 84128-3420 | 2020-06-15 |
| 1831741198 | Braulio Ochoa-montal | Student in an Organized Health Care Education/Training Program | 2900 W Lehman Ave Apt 342, West Valley City, UT 84119-3659 | 2019-07-16 |
| 1831696228 | Zak Ritchey | Student in an Organized Health Care Education/Training Program | 2310 W City Center Ct, West Valley City, UT 84119-3462 | 2018-04-11 |
| 1295132272 | Andrea Vasquez | Student in an Organized Health Care Education/Training Program | 2873 S 2540 W # 211, West Valley City, UT 84119-1913 | 2014-11-19 |
| 1114357712 | Trenton Keppner | Student in an Organized Health Care Education/Training Program | 5698 W Glen Eagle Dr, West Valley City, UT 84128-4013 | 2013-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205829 | Brittany Nicole Beverly | Student in an Organized Health Care Education/Training Program | 236 N Sun Arbor Ter Apt 2111, Salt Lake City, UT 84116-4537 | 2020-11-06 |
| 1649871617 | Brian Anders Johnson | Student in an Organized Health Care Education/Training Program | 720 S River Rd Ste B105, St George, UT 84790-5704 | 2020-11-05 |
| 1336740505 | Benjamin H Reece | Student in an Organized Health Care Education/Training Program | 191 N Clark Ln, Elk Ridge, UT 84651-9550 | 2020-11-04 |
| 1538760061 | Joshua Ty Winters | Student in an Organized Health Care Education/Training Program | 3691 W Pure Nirvana Ln, Herriman, UT 84096-2617 | 2020-11-02 |
| 1972103885 | Ryan James Larsen | Student in an Organized Health Care Education/Training Program | 1786 N Main St, Centerville, UT 84014-1133 | 2020-10-29 |
| 1134727142 | Jonathon Cahoon | Student in an Organized Health Care Education/Training Program | 10604 N 5550 W, Highland, UT 84003-8903 | 2020-10-12 |
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1558968529 | Raul G Betancourt-perez | Student in an Organized Health Care Education/Training Program | 151 Coventry Pl, Logan, UT 84341-1998 | 2020-10-02 |
| 1730793852 | Katrina Rose Emery | Student in an Organized Health Care Education/Training Program | 1374 E Willow Vista Dr, Sandy, UT 84093-6644 | 2020-09-04 |
| 1134733439 | Kelly C Cook | Student in an Organized Health Care Education/Training Program | 55 500 E, Heber, UT 84032 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
| City | WEST VALLEY CITY |
| Zip Code | 84119 |
Please comment or provide details below to improve the information on ANNA WAGNER.
| 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.