PAULA WAGNER (NPI# 1760467948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760467948 |
| Entity Type | Individual |
| Full Name | PAULA WAGNER |
| Credential | FNP |
| Practice Address |
4860 Y St Suite 2200 Sacramento CA 95817-2307 |
| Practice Telephone | 9167348482 |
| Practice Fax Number | 9167348094 |
| Mailing Telephone | 9167348482 |
| Mailing Fax Number | 9167348094 |
| Enumeration Date | 2005-12-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | A83339 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZZ19781Z | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124331152 | Paula J Wagner | Nurse Practitioner | 6150 N Broadway St, Chicago, IL 60660 | 2010-07-19 |
| Street Address |
4860 Y ST SUITE 2200 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-2307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629075536 | Julianna Landon Burton | Pharmacist | 4860 Y St, Sacramento, CA 95817-2307 | 2005-07-07 |
| 1467913954 | Brandon Victor Hassid | Student in an Organized Health Care Education/Training Program | 4860 Y St, Sacramento, CA 95817-2307 | 2019-03-27 |
| 1750853230 | Mandy Michelle Stanton | Registered Nurse | 4860 Y St, Sacramento, CA 95817-2307 | 2018-12-21 |
| 1881176543 | Wesam Hakki Alduleme | Respiratory Therapist, Registered | 4860 Y St, Sacramento, CA 95817-2307 | 2018-08-29 |
| 1174020960 | Jorge Carlos Cuza | Student in an Organized Health Care Education/Training Program | 4860 Y St, Sacramento, CA 95817-2307 | 2018-04-09 |
| 1073019089 | Obinna Chukwuemeka Oko | Student in an Organized Health Care Education/Training Program | 4860 Y St, Sacramento, CA 95817-2307 | 2018-03-30 |
| 1871097956 | Jonathan C Hu | Student in an Organized Health Care Education/Training Program | 4860 Y St, Sacramento, CA 95817-2307 | 2018-03-22 |
| 1508390147 | Ifeanyi Cliff Onyeji | Student in an Organized Health Care Education/Training Program | 4860 Y St, Suite 3500, Sacramento, CA 95817-2307 | 2017-04-19 |
| 1942733720 | Nicole Sadika Yee | Student in an Organized Health Care Education/Training Program | 4860 Y St, Suite 2500, Sacramento, CA 95817-2307 | 2017-04-07 |
| 1831622869 | Mark William Evans | Student in an Organized Health Care Education/Training Program | 4860 Y St, Suite 2500, Sacramento, CA 95817-2307 | 2017-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| Find all providers in zip 95817 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342366 | Chelsea Hallford-reese | Nurse Practitioner | 5432 Leader Ave, Sacramento, CA 95841-2312 | 2020-10-02 |
| 1033749270 | Bernice Tan | Nurse Practitioner | 570 Bercut Dr, Sacramento, CA 95811-0105 | 2020-01-15 |
| 1669946687 | Erin Blaise | Nurse Practitioner | 100 Howe Ave Ste 240n, Sacramento, CA 95825-8214 | 2019-01-12 |
| 1356818819 | Joshua Naeger | Nurse Practitioner | 8715 Center Pkwy, Sacramento, CA 95823-7921 | 2018-11-01 |
| 1346716941 | Sarah Marie Woods | Nurse Practitioner | 3814 Auburn Blvd Ste 72, Sacramento, CA 95821-2123 | 2018-10-22 |
| 1629543343 | Manraj Kaur Sandhu | Nurse Practitioner | 1508 Alhambra Blvd # 200, Sacramento, CA 95816-6510 | 2018-10-09 |
| 1417432147 | Janette Bajo | Nurse Practitioner | 2725 Capitol Ave Dept 304, Sacramento, CA 95816-6006 | 2018-09-27 |
| 1356876981 | Sukhraj Mann | Nurse Practitioner | 2984 Muttonbird Way, Sacramento, CA 95834-2623 | 2017-04-20 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| 1083169908 | Joshua Reza Khoshsefat | Nurse Practitioner | 555 Capitol Mall Ste 570, Sacramento, CA 95814-4502 | 2016-08-21 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
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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.