AMANDA MARIE WAGNER (NPI# 1972007441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972007441 |
| Entity Type | Individual |
| Full Name | AMANDA MARIE WAGNER |
| Credential | M.D. |
| Practice Address |
1664 N Virginia St Reno NV 89557-0001 |
| Practice Telephone | 7756828648 |
| Practice Fax Number | 7756828610 |
| Mailing Telephone | 7756828648 |
| Mailing Fax Number | 7756828610 |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2018-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707072 | Amanda Lynn Wagner | In Home Supportive Care | 158 Fairhome Ave, Clyde, OH 43410-2006 | 2020-10-12 |
| 1205478294 | Amanda Wagner | Marriage & Family Therapist | 7021 W 153rd St Ste 5, Orland Park, IL 60462-5397 | 2019-10-11 |
| 1144683574 | Amanda Wagner | Counselor | 900 Darlington Ave, Mahwah, NJ 07430-2526 | 2016-04-02 |
| 1659748911 | Amanda E Wagner | Clinical Neuropsychologist | 2000 Alameda De Las Pulgas Ste 242, San Mateo, CA 94403-1271 | 2015-08-21 |
| 1295090504 | Amanda Wagner | Speech-Language Pathologist | 120 Se 5th Ave, Apt 223, Boca Raton, FL 33432-5072 | 2012-07-12 |
| 1154399152 | Amanda Griffin Wagner | Psychologist | 11 Charlie Morris Rd Bldg 2, Colbert, GA 30628-2445 | 2006-03-08 |
| 1396365797 | Amanda Wagner | Pharmacist | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-04-26 |
| 1164058020 | Amanda C Wagner | Nurse Anesthetist, Certified Registered | 5645 Main St, Flushing, NY 11355-5045 | 2020-03-22 |
| 1780214320 | Amanda Wagner | Case Manager/Care Coordinator | 1744 Payne Ave, Cleveland, OH 44114-2910 | 2020-01-23 |
| 1366089914 | Amanda Wagner | Case Manager/Care Coordinator | 120 S Barstow St, Eau Claire, WI 54701-3642 | 2019-12-03 |
| Street Address |
1664 N VIRGINIA ST |
| City | RENO |
| State | NV |
| Zip Code | 89557-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871577148 | Tami U Brancamp | Speech-Language Pathologist | 1664 N Virginia St, Mail Stop 152 Redfield Medical Building, Reno, NV 89557-0152 | 2005-12-01 |
| 1285256107 | Tess Jones | Student in an Organized Health Care Education/Training Program | 1664 N Virginia St, Reno, NV 89557-0001 | 2020-05-13 |
| 1811543754 | Rachel Renee Rodriguez | Behavior Technician | 1664 N Virginia St, Reno, NV 89557-0001 | 2019-08-15 |
| 1851952543 | Sameera Siddiqui | Psychiatry & Neurology | 1664 N Virginia St, Reno, NV 89557-0001 | 2019-06-24 |
| 1407318769 | Nathan Rawsthorne Thomas | Student in an Organized Health Care Education/Training Program | 1664 N Virginia St, Reno, NV 89557-0002 | 2019-04-04 |
| 1407317647 | Saige Elyse Kubac | Student in an Organized Health Care Education/Training Program | 1664 N Virginia St, Reno, NV 89557-0001 | 2019-03-29 |
| 1043770860 | Taylor Randolph | Specialist | 1664 N Virginia St, Reno, NV 89557-0002 | 2019-03-20 |
| 1073073698 | Timothy Grunert | Student in an Organized Health Care Education/Training Program | 1664 N Virginia St, Reno, NV 89557-0001 | 2019-03-20 |
| 1922585561 | Kyle Douglas Ray | Specialist/Technologist | 1664 N Virginia St, Reno, NV 89557-0001 | 2018-07-26 |
| 1285129056 | Univ of Nv School of Medicine Multispecialty Group Practice North Inc. | Audiologist-Hearing Aid Fitter | 1664 N Virginia St, Mail Stop 152, Reno, NV 89557-0001 | 2018-06-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457842510 | Staheli Meyer | Assistant Behavior Analyst | 1664 N Virginia St # Ms 296, Reno, NV 89557 | 2018-05-24 |
| 1740521087 | Amanda Casey | Speech-Language Pathologist | 1664 North Virgina Street, Reno, NV 89557 | 2013-03-12 |
| 1366626806 | Adele D. Fung | Pathology | Ms 350, Unr Pathology and Laboratory Dept., Reno, NV 89557 | 2007-12-19 |
| 1487721940 | David Mar | Family Medicine | Unr Brigham Bldg 316, Reno, NV 89557 | 2006-11-29 |
| 1063501922 | Thomas L. Schwenk | Family Medicine | 123 17th Street, Mail Stop 316, Brigham Building, Reno, NV 89557 | 2006-10-11 |
| 1295821270 | Charles E Johnson | Obstetrics & Gynecology | 1664 N. Virginia St., Reno, NV 89557 | 2006-10-05 |
| 1447346473 | Alison Westfall | Obstetrics & Gynecology | 1664 N Virginia St # Ms 153, Reno, NV 89557 | 2006-10-05 |
| 1427069863 | Christina A. Samathanam | Pathology | 1664 North Virginia Street, Mail Stop 350, Reno, NV 89557 | 2006-08-10 |
| 1114976487 | Lynn Anderson | Registered Nurse | 1664 N Virginia St # Ms 152, Reno, NV 89557 | 2006-05-06 |
| 1487634325 | Gena S. Turner | Nurse Practitioner | 1664 N. Virginia Street, Ms 0317, Reno, NV 89557 | 2006-01-18 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949840 | Mekha Omarimuhammad | Student in an Organized Health Care Education/Training Program | 2505 Rio Rico Ct, Reno, NV 89523-6213 | 2020-07-08 |
| 1912529744 | Michelle Loubet | Student in an Organized Health Care Education/Training Program | 18600 Wedge Pkwy Ste 104, Reno, NV 89511-3036 | 2020-05-14 |
| 1902428915 | Roxann Jeanette Richardson | Student in an Organized Health Care Education/Training Program | Unr Redfield Campus Nell J. Redfield Bldg. A, Suite 104 18600 Wedge Parkway, Reno, NV 89511 | 2020-05-13 |
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1710516620 | Gianni Boitano Perano | Student in an Organized Health Care Education/Training Program | 1664 N Virginia Street Brigham Building/316, Reno, NV 89557-0001 | 2020-04-02 |
| 1699303750 | Loren Fisher | Student in an Organized Health Care Education/Training Program | 1664 N Virginia Street Brigham Bldg 316, Reno, NV 89557-0169 | 2020-04-01 |
| 1821626698 | Haviva Kobany | Student in an Organized Health Care Education/Training Program | 3465 Ridgecrest Dr, Reno, NV 89512-1443 | 2020-03-29 |
| 1508493800 | Martin Azzam | Student in an Organized Health Care Education/Training Program | 4210 Amber Marie Ln, Reno, NV 89503-1022 | 2020-03-25 |
| 1003441197 | Marisa Ann Sewell | Student in an Organized Health Care Education/Training Program | 1664 N Virginia Ave Unr School of Medicine, Reno, NV 89557-0001 | 2020-03-09 |
| 1104478411 | Taryn Bales | Student in an Organized Health Care Education/Training Program | 6340 Antero Dr, Reno, NV 89523-2845 | 2019-07-16 |
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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.