AMY NICOLE WAGNER (NPI# 1942742804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942742804 |
| Entity Type | Individual |
| Full Name | AMY NICOLE WAGNER |
| Credential | MS, FNP-BC |
| Practice Address |
150 N Robertson Blvd Beverly Hills CA 90211-2142 |
| Mailing Address |
13320 Beach Ave Unit 201 Marina Del Rey CA 90292-4605 |
| Practice Telephone | 3219172597 |
| Mailing Telephone | 3219172597 |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-11-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95005333 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642937 | Amy Danielle Wagner | Marriage & Family Therapist | 523 Dixie St Ste 5, Carrollton, GA 30117-3870 | 2019-01-09 |
| 1649695628 | Amy L. Wagner | Behavioral Analyst | 1128 Beville Road, Suite A, Daytona Beach, FL 32114 | 2014-02-27 |
| 1538463997 | Amy Lyn Wagner | Occupational Therapist | 2820 E 53rd Ave, Apt # 48, Spokane, WA 99223-7962 | 2010-12-28 |
| 1710033097 | Amy E Wagner | Physical Therapist | 1428 S Marengo Ave, Alhambra, CA 91803-3001 | 2007-01-26 |
| 1568516698 | Amy Claire Wagner | Psychologist | 104 Central Park Ave, Wilmette, IL 60091-3202 | 2007-01-23 |
| 1174186217 | Amy Marie Wagner | Student in an Organized Health Care Education/Training Program | 6901 Bertner Ave, Houston, TX 77030-3901 | 2019-04-15 |
| 1639654437 | Amy Elizabeth Wagner | Speech-Language Pathologist | 631 Main Street, Richfield, PA 17086 | 2018-09-27 |
| 1568989697 | Amy S Wagner | Counselor | 3544 Edgewater Dr, Orlando, FL 32804-2922 | 2017-08-29 |
| 1801340393 | Amy Wagner | Counselor | 2272 95th St, Unit 305, Naperville, IL 60564-8942 | 2016-08-12 |
| 1376997890 | Amy Wagner | Registered Nurse | 940 E 8th St, Traverse City, MI 49686-2893 | 2016-04-21 |
| Street Address |
150 N ROBERTSON BLVD |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90211-2142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407857964 | Marilyn A Solsky Md A Medical Corp | Internal Medicine | 150 N Robertson Blvd, Ste 350 N, Beverly Hills, CA 90211-2142 | 2005-08-09 |
| 1558729459 | Gastroenterology Institute of Southern California | Internal Medicine | 150 N Robertson Blvd, Suite 204, Beverly Hills, CA 90211-2142 | 2016-02-05 |
| 1366815524 | Taryne Imai M D A Professional Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 150 N Robertson Blvd, Suite 150, Beverly Hills, CA 90211-2142 | 2015-11-09 |
| 1578940599 | Daniel A S Hoffman A Medical Corporation | Internal Medicine | 150 N Robertson Blvd, Suite 115, Beverly Hills, CA 90211-2142 | 2015-04-28 |
| 1063833614 | Amita Dharawat Md Inc | Internal Medicine | 150 N Robertson Blvd, Suite 150, Beverly Hills, CA 90211-2142 | 2013-12-30 |
| 1790026524 | Robert Koblin, M.d. Inc. | Clinic/Center | 150 N Robertson Blvd, 115, Beverly Hills, CA 90211-2142 | 2013-03-04 |
| 1396083192 | Andrew T Gray | Physician Assistant | 150 N Robertson Blvd, Suite 300, Beverly Hills, CA 90211-2142 | 2013-01-29 |
| 1548507684 | Derek T Dee Md A Professional Corporation | Orthopaedic Surgery | 150 N Robertson Blvd, Suite 250, Beverly Hills, CA 90211-2142 | 2013-01-09 |
| 1912280090 | Minh Chau T Nguyen Md Inc | Internal Medicine | 150 N Robertson Blvd, 224, Beverly Hills, CA 90211-2142 | 2011-09-24 |
| 1053621565 | Kristina K Neagos | Nurse Practitioner | 150 N Robertson Blvd, Suite 204, Beverly Hills, CA 90211-2142 | 2010-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649817610 | Doris Yaghoubtil | Physician Assistant | 220 S. Hamel Dr., Beverly Hills, CA 90211 | 2019-12-09 |
| 1649831348 | Optimum Surgical Inc. | Clinic/Center | 9090 Wilshire Blvd Suite 100, Beverly Hills, CA 90211 | 2019-06-24 |
| 1760972467 | Francisco Javier Iribarren | Psychologist | 8383 Wilshire Blvd Ste 800, Beverly Hills, CA 90211 | 2018-05-17 |
| 1821533803 | The Wright Home Care Inc | Respite Care | 8383 Wiltshire Blvd, Suite 800, Beverly Hills, CA 90211 | 2016-12-29 |
| 1497298772 | Brain Health Acupuncture Center | Acupuncturist | 201 N. Robertson Boulevard, Suite 207, Beverly Hills, CA 90211 | 2016-11-18 |
| 1568918712 | Plbc Medical Group, Inc | Medical Genetics, Ph.D. Medical Genetics | 8900 Wilshire Blvd, Suite 300, Beverly Hills, CA 90211 | 2016-08-28 |
| 1104283084 | Gilbert Kwong | Dentist | 127 N. Wetherly Drive, Beverly Hills, CA 90211 | 2016-01-22 |
| 1033511126 | Michelle Dabadie | Prosthetic/Orthotic Supplier | 9022 Burton Way, Los Angeles, CA 90211 | 2014-09-19 |
| 1831599802 | Spine Group Beverly Hills Inc | Orthopaedic Surgery | 8929 Wilshire Blvd, Suite 302, Bevelry Hills, CA 90211 | 2014-08-27 |
| 1144653650 | Jean Alejo Fiore | Radiologic Technologist | 8670 Wilshire Boulevard, 300, Beverly Hills, CA 90211 | 2013-08-20 |
| Find all providers in zip 90211 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811538978 | Ayesha Oglesby | Nurse Practitioner | 18250 Huntley Sq N Apt 1824, Beverly Hills, MI 48025-5355 | 2019-09-30 |
| 1437715695 | Aleksandra Vartapetova | Nurse Practitioner | 9663 Santa Monica Blvd Ste 883, Beverly Hills, CA 90210-4303 | 2019-05-14 |
| 1164941696 | Jennifer Hollander | Nurse Practitioner | 153 S Lasky Dr Ste 8, Beverly Hills, CA 90212-1721 | 2017-09-15 |
| 1942658851 | Mariana Vergara | Nurse Practitioner | 435 N Bedford Dr Ste 402, Beverly Hills, CA 90210-4334 | 2016-06-01 |
| 1942476064 | Eileen P Walsh | Nurse Practitioner | 212 S Maple Dr, Beverly Hills, CA 90212-4014 | 2008-05-08 |
| 1487294708 | Chelsi Dayrit | Nurse Practitioner | 9675 Brighton Way Ste 380, Beverly Hills, CA 90210-5187 | 2020-01-15 |
| 1992358725 | Jillian Alexandra Roy | Nurse Practitioner | 421 N Rodeo Dr Ste T7, Beverly Hills, CA 90210-4531 | 2019-07-21 |
| 1669938320 | Kelly Peiffer | Nurse Practitioner | 436 N Bedford Dr Ste 105, Beverly Hills, CA 90210-4323 | 2019-02-18 |
| 1912462961 | Alla Maksimova | Nurse Practitioner | 8920 Wilshire Blvd Ste 520, Beverly Hills, CA 90211-1949 | 2019-02-04 |
| 1174018931 | Rakel K Assk | Nurse Practitioner | 31333 Southfield Rd Ste 130, Beverly Hills, MI 48025-5473 | 2018-06-25 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90211 |
Please comment or provide details below to improve the information on AMY NICOLE WAGNER.
| 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.