MRS. PAMELA COY WAGNER (NPI# 1992881064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992881064 |
| Entity Type | Individual |
| Full Name | MRS. PAMELA COY WAGNER |
| Credential | RN, FNP |
| Practice Address |
899 Fm 632 Kenedy TX 78119-4516 |
| Mailing Address |
1554 Fm 622 Victoria TX 77905-3106 |
| Practice Telephone | 8305834003 |
| Mailing Telephone | 3615765519 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2006004567-22 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730547274 | Pamela Wagner | Dietitian, Registered | 2134 Handel Ave, Henderson, NV 89052-5723 | 2016-01-28 |
| 1649443805 | Pamela Lou Wagner | Counselor | 17301 Statesville Rd, Cornelius, NC 28031-9353 | 2008-04-09 |
| 1932179892 | Pamela Wagner | Physician Assistant | 2900 Chanticleer Ave., Santa Cruz, CA 95065-1816 | 2006-01-24 |
| 1740433309 | Pamela Wagner | Specialist | 2577 Sheridan Dr, Tonawanda, NY 14150-9411 | 2008-10-28 |
| 1861681637 | Pamela Wagner | Nurse Anesthetist, Certified Registered | 640 Jackson St, Saint Paul, MN 55101-2502 | 2007-10-17 |
| 1124233184 | Pamela H.s. Wagner | Ophthalmology | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2007-05-13 |
| 1104880418 | Pamela E. Wagner | Nurse Anesthetist, Certified Registered | 800 E 28th St, Minneapolis, MN 55407-3723 | 2006-04-13 |
| Street Address |
899 FM 632 |
| City | KENEDY |
| State | TX |
| Zip Code | 78119-4516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508265653 | Ila Brown | Dentist | 899 Fm 632, Kenedy, TX 78119-4516 | 2014-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467801779 | Nathan Borgfeld | Family Medicine | Kaiser Family Practice, 3349 South Hwy 181, Suite #3, Kenedy, TX 78119 | 2016-06-07 |
| 1245627850 | William Seal Byers | Specialist | 10235 Fm 743, Kenedy, TX 78119 | 2015-04-21 |
| 1548667355 | Khush Dentistry Pllc | Clinic/Center | 119 Business Park Drive, Suite 200, Kenedy, TX 78119 | 2014-11-21 |
| 1881014314 | H-e-b, Lp | Clinical Medical Laboratory | 107 N Sunset Strip, Kenedy, TX 78119 | 2014-04-23 |
| 1700128097 | Brittany Okpagu | Family Medicine | 3349 Us-181, Kenedy, TX 78119 | 2013-03-25 |
| 1770702946 | Mary P Phelps | Dentist | 330 West Live Oak Street, Kenedy, TX 78119 | 2007-04-25 |
| 1265525950 | Prescription Shop | Durable Medical Equipment & Medical Supplies | 143 Craig Street, Kenedy, TX 78119 | 2006-10-02 |
| 1124015268 | Kenedy Manor Nursing Home Inc | Nursing Facility/Intermediate Care Facility | 7882 S Highway 181, Drawer E, Kenedy, TX 78119 | 2005-10-04 |
| 1932273703 | Seraphic Sisters Inc | Nursing Facility/Intermediate Care Facility | 209 S 3rd St, Kenedy, TX 78119-0359 | 2006-11-20 |
| 1073531828 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 200 Business Park Blvd, Kenedy, TX 78119-2026 | 2006-07-18 |
| Find all providers in zip 78119 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720106636 | San Antonio Kidney Disease Center Physicians Group, P.l.l.c. | Nurse Practitioner | 3349 S Highway 181, Kenedy, TX 78119-5241 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
| 1891396586 | Stacey Lynne Ready | Nurse Practitioner | 200 Uptmore Rd, West, TX 76691-2339 | 2020-11-08 |
| 1992306609 | Jillian Mcclintock | Nurse Practitioner | 2506 Graystone Ln, Corinth, TX 76210-1607 | 2020-11-08 |
| 1851992515 | Stacie A Gregg | Nurse Practitioner | 1229 Johnny Ln, San Angelo, TX 76905-2331 | 2020-11-07 |
| 1285235929 | Activate Family Health, Pllc | Nurse Practitioner | 203 E Davis St Ste F-1026, Conroe, TX 77301-3159 | 2020-11-07 |
| 1629679782 | Kristen Aili Johnson | Nurse Practitioner | 3850 Fm 18, Abilene, TX 79602-2004 | 2020-11-05 |
| 1376144303 | Stephanie Renee Knight | Nurse Practitioner | 4326 Egret Dr, Seabrook, TX 77586-2557 | 2020-11-05 |
| 1457952319 | Olufunke Oyindamola Oshoba | Nurse Practitioner | 200 Odyssey Ln, Mansfield, TX 76063-3438 | 2020-11-05 |
| 1518568419 | Ian Mardis | Nurse Practitioner | 12528 Tierra Encino Dr, El Paso, TX 79938-4525 | 2020-11-05 |
| 1851992994 | Angela Davis | Nurse Practitioner | 9523 Scanlan Heights Ln, Missouri City, TX 77459-5503 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
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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.