KIMBERLY WAGNER


Address: 23936 Michigan Ave, Dearborn, MI 48124-1833
Phone: 3132784601

KIMBERLY WAGNER (NPI# 1861885477) 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) 1861885477
Entity Type Individual
Full Name KIMBERLY WAGNER
Credential MS, OTRL
Practice Address 23936 Michigan Ave
Dearborn
MI 48124-1833
Mailing Address 15045 Belmont Ave
Allen Park
MI 48101-1605
Practice Telephone 3132784601
Mailing Telephone 3133786648
Enumeration Date 2015-03-07
Last Update Date 2019-07-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 5201001795 MI Other Service Providers
N 225X00000X Occupational Therapist 5201001795 MI Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers KIMBERLY WAGNER

NPI Name Taxonomy Address Enumeration
1053755959 Kimberly Wagner Counselor 533 Judy Ann Dr, Hahira, GA 31632-1303 2013-04-22
1164691465 Kimberly H Wagner Nurse Practitioner 125 W Interstate 30, Royse City, TX 75189-7512 2008-02-21
1245352855 Kimberly Wagner Psychologist 201 N Rose Ave, Room 32, Bloomington, IN 47405-1005 2007-04-04
1497379788 Kimberly Ann Wagner Registered Nurse 6480 Technology Ave, Kalamazoo, MI 49009-8119 2020-06-02
1124542980 Kimberly Marie Wagner Specialist/Technologist 59 Executive Park S Ste 1100, Atlanta, GA 30329-2208 2017-08-02
1093154122 Kimberly Wagner Family Medicine 2970 Pierce Rd, Suite 2, Saginaw, MI 48604-8810 2013-06-21
1588008320 Kimberly Wagner Counselor 3830 S Cushman St, Fairbanks, AK 99701-7530 2013-04-23
1104176593 Kimberly N Wagner Physical Therapist 750 Coronado Center Dr, Suite 120, Henderson, NV 89052-5034 2012-09-13
1114237575 Kimberly Ann Wagner Licensed Practical Nurse 1 Perryman St, Lebanon, IL 62254-1356 2010-10-19
1922325497 Kimberly Lue Wagner Psychiatry & Neurology 2312 N Nevada Ave, Suite 100, Colorado Springs, CO 80907-5302 2010-04-23

Office Location

Street Address 23936 MICHIGAN AVE
City DEARBORN
State MI
Zip Code 48124-1833

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669691648 Dearborn Speech and Sensory Center, Inc. Speech-Language Pathologist 23936 Michigan Ave, Dearborn, MI 48124-1833 2007-04-25
1952851404 Rachelle Bietler Speech-Language Pathologist 23936 Michigan Ave, Dearborn, MI 48124-1833 2016-10-08
1598219966 Katelyn Marie Smith Speech-Language Pathologist 23936 Michigan Ave, Dearborn, MI 48124-1833 2016-08-15
1245680370 Rose Cairo Speech-Language Pathologist 23936 Michigan Ave, Dearborn, MI 48124-1833 2016-06-20
1851777676 Michelle Calilung Speech-Language Pathologist 23936 Michigan Ave, Dearborn, MI 48124-1833 2015-08-04
1932500501 Lori Shaffer Speech-Language Pathologist 23936 Michigan Ave, Dearborn, MI 48124-1833 2014-09-14
1033510821 Dearborn Speech and Sensory Center, Inc Clinic/Center 23936 Michigan Ave, Dearborn, MI 48124-1833 2014-09-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396389524 Pharma A, LLC Pharmacy 23916 Michigan Ave, Dearborn, MI 48124 2019-10-31
1225683725 Aysha Said Behavior Technician 1369 Porter St, Dearborn, MI 48124 2019-08-02
1881257772 Leen Nusairat Internal Medicine Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 2019-04-17
1417413360 Gary C. Veraghen, Dds, PC Dentist 22100 W. Outer Drive, Dearborn, MI 48124 2019-02-15
1982168787 Fnu Asma Manzar Physical Therapist Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 2019-01-25
1639640162 Jernia Lashawn Usher Behavior Technician 1360 Porter St Lower Level, Dearborn, MI 48124 2018-12-10
1710456470 Samar Fouad Hannawi Psychologist 3815 Pelham Street, Suite #13, Dearborn, MI 48124 2018-11-24
1881178747 Sarah Chehab Psychologist 835 Mason St Suite 220b, Dearborn, MI 48124 2018-09-17
1568948289 Ibrahim M Basma Pharmacist 22521 Michigan Avenue, Dearborn, MI 48124 2018-07-16
1669961942 Jacqueline E Domzalski Technician, Other 3231 S. Gulley, Suite E, Dearborn, MI 48124 2018-05-02
Find all providers in zip 48124

Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568889251 Independent Medical Associates PC Specialist 24825 Michigan Ave Ste B, Dearborn, MI 48124-1758 2014-03-20
1740544550 Angela Patricia - Galeano Carlson Specialist 23910 Oak St, Dearborn, MI 48128-2202 2012-06-26
1427239458 William G Nutting M.d.p.c. Specialist 1637 Monroe St, Dearborn, MI 48124-2912 2007-11-19
1548463151 Susan Kusner Specialist 13020 Osborne St, Dearborn, MI 48126-3640 2007-06-10
1194859314 Darapen C Chivalak Specialist 1640 Monroe St, Dearborn, MI 48124-2913 2007-03-16
1821159690 Kirsten Clark Specialist 20031 Carlysle St, Suite 3, Dearborn, MI 48124-3803 2006-12-13
1306880471 Hyun Sik Chang Specialist 3815 Pelham, Suite 5, Dearborn, MI 48124-3852 2006-06-16
1184664302 John J. Bernick Specialist 751 S Military St, Dearborn, MI 48124-2107 2006-06-07
1710943683 Peter L. Stevenson, Md, PC Specialist 2100 Monroe Street, Dearborn, MI 48124 2006-04-21
1134195480 Raghda Chwikani Specialist 10326 W Warren Ave, Dearborn, MI 48126-1659 2006-02-27
Find all providers in DEARBORN

Competitor

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City DEARBORN
Zip Code 48124

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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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