AMY R WAGGNER (NPI# 1861460537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861460537 |
| Entity Type | Individual |
| Full Name | AMY R WAGGNER |
| Credential | RN MSN FNP |
| Practice Address |
1402 Grand Ave Washington IN 47501-2122 |
| Practice Telephone | 8122570383 |
| Practice Fax Number | 8122570433 |
| Mailing Telephone | 8122542760 |
| Mailing Fax Number | 8122548636 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2016-12-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 71001500 | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000390541 | 01 |
| IN | 200461840 | 05 | |
| IN | MEDICARE RAILROAD GROUP | CA5604 | 01 |
| IN | MEDICARE RAILROAD | P00152106 | 01 |
| Street Address |
1402 GRAND AVE |
| City | WASHINGTON |
| State | IN |
| Zip Code | 47501-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851376388 | Norma J Kreilein | Pediatrics | 1402 Grand Ave, Washington, IN 47501-2122 | 2005-12-07 |
| 1245658699 | Daviess County Hospital | Specialist | 1402 Grand Ave, Washington, IN 47501-2122 | 2014-04-02 |
| 1629337589 | Daviess County Hospital | Clinic/Center | 1402 Grand Ave, Washington, IN 47501-2122 | 2012-05-14 |
| 1366641599 | Kelli R Barnard | Dietitian, Registered | 1402 Grand Ave, Washington, IN 47501-2122 | 2007-07-17 |
| 1558583385 | Daviess County Hospital | Clinic/Center | 1402 Grand Ave, Washington, IN 47501-2122 | 2007-05-02 |
| 1356468631 | Daviess County Hospital | Clinic/Center | 1402 Grand Ave, Washington, IN 47501-2122 | 2007-03-23 |
| 1063562973 | Tanya De La Vergne | Pediatrics | 1402 Grand Ave, Washington, IN 47501 | 2007-01-11 |
| 1831257203 | Daviess County Hospital | Clinic/Center | 1402 Grand Ave, Washington, IN 47501-2122 | 2006-12-05 |
| 1114000288 | Cornel S Gray | Social Worker | 1402 Grand Ave, Washington, IN 47501-2122 | 2006-10-23 |
| 1194820704 | Albert J Tuono | Surgery | 1402 Grand Ave, Washington, IN 47501-2122 | 2006-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647249 | Williams Bros. Health Care Pharmacy, Inc | Pharmacy | 1998 State St, Washington, IN 47501 | 2020-10-21 |
| 1679939078 | Emily Walker | Registered Nurse | 100 Tharp Street Suite B, Washington, IN 47501 | 2016-01-14 |
| 1104134360 | Amanda Erin Davis | Occupational Therapist | 801 S. Sr 57, Washington, IN 47501 | 2010-09-21 |
| 1891015624 | Wanda Mae Bullock | Physical Therapy Assistant | Troy Road, Washington, IN 47501 | 2010-06-03 |
| 1912149253 | Back In Motion Therapy, PC | Clinic/Center | 1764 Troy Rd., Washington, IN 47501 | 2009-04-01 |
| 1255510293 | Marlo Dale Chilman | Physical Therapist | 501 E Nat Hwy, Suite B, Washington, IN 47501 | 2007-10-26 |
| 1598952814 | Assisted Living Concepts Inc | Assisted Living Facility | 297 S 100 E, Washington, IN 47501 | 2007-10-01 |
| 1467642983 | Urology Specialists PC | Urology | 1912 East National Highway, Washington, IN 47501 | 2007-07-31 |
| 1902006141 | Emily J Hansen | Physical Therapy Assistant | 801 South Sr 57, Washington, IN 47501 | 2007-07-24 |
| 1033318001 | Melanie Carol Hunter | Physical Therapist | 2119 E. National Highway, Washington, IN 47501 | 2007-07-11 |
| Find all providers in zip 47501 | ||||
| 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 |
|---|---|---|---|---|
| 1851901664 | Demetria Satarra Peay | Nurse Practitioner | 1015 15th St Nw Ste 1000, Washington, DC 20005-2621 | 2020-08-06 |
| 1538712369 | Genesis Webb | Nurse Practitioner | 50 Irving St Northwest, Washington, DC 20310-0001 | 2019-07-21 |
| 1669945879 | Taiwo O Adeyemo | Nurse Practitioner | Unity Health Care, Inc Department of Corrections, 1901 D Street Se, Washington, DC 20003 | 2019-01-10 |
| 1063983500 | Rachel A Amsbaugh | Nurse Practitioner | 1986 Freedom Pkwy Ste 1, Washington, IL 61571-9468 | 2018-12-10 |
| 1912499708 | Elmer C Amparo | Nurse Practitioner | 1160 Varnum St Ne Ste 317, Washington, DC 20017-2103 | 2018-06-06 |
| 1366940835 | Teresa Krueger | Nurse Practitioner | 1230 S. Iowa Ave, Washington, IA 52353-1144 | 2018-01-30 |
| 1639682263 | Erin M Collison | Nurse Practitioner | 1401 E Van Trees St, Washington, IN 47501-3100 | 2017-11-06 |
| 1346693330 | Alexandra Brennan Moskowitz | Nurse Practitioner | Gwu Hospital, 900 23rd Street Nw, Washington, DC 20037 | 2016-07-14 |
| 1275917577 | Christopher Duaka Obiogbolu | Nurse Practitioner | 4310 Hunt Place, N.e, Washington, DC 20019 | 2015-07-16 |
| 1194111898 | Clute Clinic | Nurse Practitioner | 1315 31 St Nw, Washington, DC 20007 | 2015-04-09 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 47501 |
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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.