AMY R WAGGNER


Address: 1402 Grand Ave, Washington, IN 47501-2122
Phone: 8122570383

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 71001500 IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN ANTHEM 000000390541 01
IN 200461840 05
IN MEDICARE RAILROAD GROUP CA5604 01
IN MEDICARE RAILROAD P00152106 01

Office Location

Street Address 1402 GRAND AVE
City WASHINGTON
State IN
Zip Code 47501-2122

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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
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City WASHINGTON
Zip Code 47501

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Dataset Information

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.

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