DR. LAURA ELIZABETH WAGNER (NPI# 1801903315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801903315 |
| Entity Type | Individual |
| Full Name | DR. LAURA ELIZABETH WAGNER |
| Credential | PH.D. |
| Practice Address |
1600 Lakeside Dr Lynchburg VA 24501-3116 |
| Practice Telephone | 4343165000 |
| Practice Fax Number | 4343167071 |
| Mailing Telephone | 4343165000 |
| Mailing Fax Number | 4343167071 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2011-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 0810003438 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | AETNA ID NUMBER | 192035 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518216332 | Laura Beth Wagner | Physician Assistant | 14 Deerwood Dr, Clark, NJ 07066-2817 | 2012-09-07 |
| 1679877302 | Laura Ann Wagner | Specialist | 8129 Wheeler Dr, Orland Park, IL 60462-4928 | 2011-01-10 |
| 1336441765 | Laura Wagner | Nurse Practitioner | 1700 Cooper Point Road Sw, Ste C-4, Olympia, WA 98502 | 2010-11-17 |
| 1356555742 | Laura L. Wagner | Nurse Practitioner | 2810 Crossroads Dr, Madison, WI 53718-7942 | 2007-05-09 |
| 1033269329 | Laura J Wagner | Social Worker | 1100 Cesery Blvd Ste 11, Jacksonville, FL 32211-5656 | 2007-01-11 |
| 1710507223 | Laura Michelle Wagner | Nurse Practitioner | 2 Koret Way # N-319x, San Francisco, CA 94143-2218 | 2020-04-24 |
| 1700423258 | Laura Ann Wagner | Behavior Technician | 7220 W Jefferson Ave Ste 202, Lakewood, CO 80235-2023 | 2019-12-03 |
| 1255891578 | Laura Lynn Wagner | Pharmacist | 744 Hwy 270 East, Mount Ida, AR 71957 | 2019-03-22 |
| 1679079719 | Laura Ann Wagner | Clinical Exercise Physiologist | 3525 E Louise Dr Ste 500, Meridian, ID 83642-6305 | 2018-04-05 |
| 1679076285 | Laura Katherine Wagner | Physician Assistant | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2018-03-10 |
| Street Address |
1600 LAKESIDE DR |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24501-3116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053310581 | Daryl H Yoder | Psychiatry & Neurology | 1600 Lakeside Dr, Lynchburg, VA 24501-3116 | 2005-07-18 |
| 1033456199 | Narda Kay Saunders | Social Worker | 1600 Lakeside Dr, Lynchburg, VA 24501-3116 | 2013-01-09 |
| 1073777975 | Dana Dorothy Hawkins | Social Worker | 1600 Lakeside Dr, Lynchburg, VA 24501-3116 | 2008-07-10 |
| 1851554232 | Salem Vamc | Clinic/Center | 1600 Lakeside Dr, Lynchburg, VA 24501-3116 | 2008-07-07 |
| 1326200064 | Stephanie Swain Tucker | Social Worker | 1600 Lakeside Dr, Lynchburg, VA 24501-3116 | 2008-06-25 |
| 1952583478 | Keith Allan Noland | Psychologist | 1600 Lakeside Dr, Lynchburg, VA 24501-3116 | 2007-11-27 |
| 1801989512 | Ruben Figueroa-lozano | Internal Medicine | 1600 Lakeside Dr, Lynchburg, VA 24501-3116 | 2006-10-02 |
| 1043231566 | Toby David Foster | Nurse Practitioner | 1600 Lakeside Dr, Lynchburg, VA 24501-3116 | 2006-07-21 |
| 1508829102 | Karen Ann Campbell | Family Medicine | 1600 Lakeside Dr, Lynchburg, VA 24501-3116 | 2006-04-07 |
| 1639148299 | Jo Ann Martin | Nurse Practitioner | 1600 Lakeside Dr, Lynchburg, VA 24501-3116 | 2006-03-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720606957 | Evidence Based Counseling Solutions | Speech-Language Pathologist | 302 Oakley Ave, Lynchburg, VA 24501 | 2020-07-14 |
| 1740805506 | Ryan Buschmann | Physical Therapist | 2400 Lakeside Drivve, Suite 602f, Lynchburg, VA 24501 | 2020-06-08 |
| 1528525276 | Julia M Mcauley-gonzalez | Nurse Practitioner | Cvfp Immediate Care - Airport, 14005 Wards Rd - Suite A, Lynchburg, VA 24501 | 2019-02-28 |
| 1548732795 | Morgan Rose Nails | Chiropractor | 3012 Forest Hills Circle, Lynchburg, VA 24501 | 2018-12-28 |
| 1407346935 | Belva Shelor | Psychologist | 1201 Floyd Street, Lynchburg, VA 24501 | 2018-05-10 |
| 1770092447 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 3204 Old Forest Rd, Lynchburg, VA 24501 | 2017-09-26 |
| 1447774518 | Restoring Peace Counseling Services | Clinic/Center | 3311 Old Forest Rd Ste 101, Lynchburg, VA 24501 | 2017-08-01 |
| 1427578335 | Vinh Thinh T Huynh | Family Medicine | 2323 Memorial Avenue, Suite #10, Lynchburg, VA 24501 | 2017-06-21 |
| 1811436769 | Jordan Legendre | Student in an Organized Health Care Education/Training Program | 2900 Weeping Willow Drive, Apt. I, Lynchburg, VA 24501 | 2017-02-13 |
| 1114465861 | Shanika Harris | Specialist/Technologist | 1501 Lakeside Drive, Lynchburg, VA 24501 | 2017-02-02 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639668700 | Brittany Collins Staley | Psychologist | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2018-05-04 |
| 1215076377 | Emily Louise Bradshaw | Psychologist | 3300 Rivermont Ave, Centra, Lynchburg, VA 24503-2030 | 2007-02-05 |
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| 1548881352 | Kevin Raymond Tarlow | Psychologist | 2000 Riverside Drive, Apt. 6c, Richmond, VA 23225 | 2020-05-04 |
| 1912527458 | Roger M Solomon | Psychologist | 4001 9th St N Apt 404, Arlington, VA 22203-1958 | 2020-04-24 |
| 1790305464 | Jacqueline Diana Alexander | Psychologist | 225 Reserve Blvd Apt 303, Charlottesville, VA 22901-1665 | 2020-04-22 |
| 1740812205 | Ericka N Schmitt | Psychologist | Interchange Psychology, 44075 Pipeline Plaza, Ashburn, VA 20147 | 2020-02-12 |
| 1073145850 | Patricia Martin Professional Corporation | Psychologist | 800 E High St, Charlottesville, VA 22902-5126 | 2020-02-10 |
| 1215583190 | Mandi Eggenberger Quay | Psychologist | 9256 Mosby St Ste 202, Manassas, VA 20110-5078 | 2019-08-15 |
| 1780239616 | Vanessa Lee Buonopane | Psychologist | 11166 Fairfax Blvd Ste 207, Fairfax, VA 22030-5017 | 2019-08-07 |
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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.