MELISSA R WAGNER (NPI# 1932664075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932664075 |
| Entity Type | Individual |
| Full Name | MELISSA R WAGNER |
| Credential | LCASA |
| Practice Address |
1824 Ratchford Dr Dallas NC 28034-7528 |
| Mailing Address |
549 Cox Rd Gastonia NC 28054-0628 |
| Practice Telephone | 7049641793 |
| Mailing Telephone | 7049641793 |
| Enumeration Date | 2019-02-03 |
| Last Update Date | 2019-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
25261 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417598491 | Melissa Anne Wagner | Nurse Practitioner | 2701 Blair Mill Rd, Suite 20, Willow Grove, PA 19090 | 2019-10-01 |
| 1306408109 | Melissa Anne Wagner | Registered Nurse | 5500 Armstrong Rd, Battle Creek, MI 49037-7314 | 2019-07-01 |
| 1073006037 | Melissa Marie Wagner | Speech-Language Pathologist | 8848 Red Oak Blvd Ste Aa, Charlotte, NC 28217-5595 | 2018-06-13 |
| 1275077265 | Melissa Hart Wagner | Occupational Therapist | 120 Cavette Hill Ln, Rehab Department, Knoxville, TN 37934-6673 | 2016-12-09 |
| 1356891105 | Melissa Wagner | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2016-10-05 |
| 1174992382 | Melissa Dalton Wagner | Nurse Practitioner | 64 Kirk Plz, Inez, KY 41224 | 2015-09-17 |
| 1366843229 | Melissa Wagner | Psychologist | 3443 W Shaw Ave, Fresno, CA 93711-3249 | 2014-09-10 |
| 1063820710 | Melissa Wagner | Radiologic Technologist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2014-07-25 |
| 1366763708 | Melissa Sue Wagner | Nurse Practitioner | 400 S Kingshighway Blvd, Saint Louis, MO 63110-1014 | 2010-06-21 |
| 1639338478 | Melissa A Wagner | Massage Therapist | 207 W Summit St, Souderton, PA 18964-2054 | 2008-06-06 |
| Street Address |
1824 RATCHFORD DR |
| City | DALLAS |
| State | NC |
| Zip Code | 28034-7528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467759548 | Nyayp Therapeutic Services | Counselor | 1012 Philadelpia Church Rd, Dallas, NC 28034 | 2011-02-25 |
| 1790090959 | Nyayp, LLC | Counselor | 1012 Philadelphia Church Road, Ste A, Dallas, NC 28034 | 2010-08-12 |
| 1952537359 | Vimal Patel | Pharmacist | 915 W. Trade Street, Dallas, NC 28034 | 2009-06-01 |
| 1730327305 | Ingles Markets Inc | Pharmacy | 715 W Trade St, Dallas, NC 28034 | 2009-02-04 |
| 1346365848 | Dallas Express Pharmacy | Durable Medical Equipment & Medical Supplies | 111 North Hoffman, Suite A, Dallas, NC 28034 | 2007-03-21 |
| 1679577027 | Joshua W Baker | Optometrist | 820 Lower Dallas Hwy, Dallas, NC 28034 | 2005-06-13 |
| 1518469204 | Daria Fowler | Counselor | 107 N Summey St, Dallas, NC 28034 | 2018-03-08 |
| 1295106011 | Tolulope Alokolaro | Pharmacist | 1300 Dallas Cherryville Hwy, Dallas, NC 28034 | 2015-10-20 |
| 1679690994 | Karen D Packer | Speech-Language Pathologist | 1906 Dallas Cherryville Hwy, Dallas, NC 28034-0899 | 2007-03-23 |
| 1144323833 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3126 Dallas High Shoals Hwy, Dallas, NC 28034-1306 | 2006-09-07 |
| Find all providers in zip 28034 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417564683 | Solutions Mental Health, Pllc | Counselor | 13500 Midway Rd Ste 400, Dallas, TX 75244-5155 | 2020-09-30 |
| 1588284848 | Prime Counseling | Counselor | 13140 Coit Rd Ste 215, Dallas, TX 75240-5786 | 2020-04-16 |
| 1174157093 | Stephanie Grogan | Counselor | 12800 Hillcrest Rd Ste A103, Dallas, TX 75230-1524 | 2020-02-29 |
| 1982236014 | Shannon Christine O'connor | Counselor | 3838 Rawlins St Apt 313, Dallas, TX 75219-4250 | 2020-02-06 |
| 1215576574 | Mary Kemp Tabor | Counselor | 14114 Dallas Pkwy Ste 245, Dallas, TX 75254-1331 | 2020-01-03 |
| 1962048710 | Roshonda Guest | Counselor | 529 W. Commerce, 1414, Dallas, TX 75208 | 2019-11-26 |
| 1104469824 | Amber Christine Wrye | Counselor | 5433 Alpha Rd, Dallas, TX 75240 | 2019-10-25 |
| 1679116909 | Origins Counseling LLC | Counselor | 12810 Hillcrest Rd Ste B223, Dallas, TX 75230-1525 | 2019-10-18 |
| 1225679665 | Katherine Foutz | Counselor | 6301 Gaston Ave Ste 730, Dallas, TX 75214-6296 | 2019-10-07 |
| 1831730910 | Christopher Paul Logan | Counselor | 10588 Stone Canyon Rd Apt 309, Dallas, TX 75230-4419 | 2019-09-30 |
| Find all providers in DALLAS | ||||
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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.