JESSICA LYNN WAGNER (NPI# 1013365246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013365246 |
| Entity Type | Individual |
| Full Name | JESSICA LYNN WAGNER |
| Credential | AU.D |
| Practice Address |
153 Brodhead Rd Bethlehem PA 18017-8931 |
| Practice Telephone | 4845263201 |
| Practice Fax Number | 4845263768 |
| Mailing Telephone | 4845263201 |
| Mailing Fax Number | 4845263768 |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2019-10-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | PA | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 500 University Dr., Suite 400, Hershey, PA 17033 | 7175316822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130629 | Jessica Noel Wagner | Nurse Practitioner | 12828 S 3600 W Ste 101, Riverton, UT 84065-6853 | 2020-09-29 |
| 1629608104 | Jessica E Wagner | Psychologist | 4633 Aicholtz Rd, Cincinnati, OH 45244-1447 | 2020-01-23 |
| 1649837246 | Jessica Wagner | Physician Assistant | 1296 Jeffco Blvd, Arnold, MO 63010-2138 | 2019-05-20 |
| 1134604648 | Jessica Wagner | Registered Nurse | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2018-10-01 |
| 1265982474 | Jessica Wagner | Counselor | 224 Alexander St, Rochester, NY 14607-4000 | 2016-10-12 |
| 1245606441 | Jessica Danielle Wagner | Nurse Practitioner | 7334 S Lindbergh Blvd, Saint Louis, MO 63125-4522 | 2015-08-11 |
| 1891187951 | Jessica Wagner | Physician Assistant | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2015-02-26 |
| 1316347198 | Jessica Wagner | Social Worker | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2014-08-28 |
| 1558701839 | Jessica Leigh Wagner | Behavioral Analyst | 901 N Monroe St, Suite 200, Spokane, WA 99201-2104 | 2013-07-01 |
| 1518298058 | Jessica Wagner | Physical Therapist | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2010-01-22 |
| Street Address |
153 BRODHEAD RD |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18017-8931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205809241 | Oscar F Murillo | Internal Medicine | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2006-02-09 |
| 1124659982 | Emily Mesaris | Occupational Therapist | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2020-01-30 |
| 1891326815 | Amy Stone Taylor | Speech-Language Pathologist | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2020-01-29 |
| 1932730066 | Laurie Lynn Risi | Speech-Language Pathologist | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2020-01-28 |
| 1558991885 | Jennifer Suzanne Jones | Speech-Language Pathologist | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2020-01-26 |
| 1932739521 | Alexandra Fay Irr | Speech-Language Pathologist | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2020-01-22 |
| 1790315448 | Mark Daniel Hrycko | Speech-Language Pathologist | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2020-01-22 |
| 1679112577 | Stc Pediatrics LLC | Pediatrics | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2019-12-26 |
| 1093353906 | Stc Pediatrics LLC | Surgery | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2019-12-11 |
| 1659919553 | Stc Pediatrics LLC | Pediatrics | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2019-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174147797 | Achieve Signature Rehabilitation, LLC | Clinic/Center | One Kirkland Village Cir, Bethlehem, PA 18017 | 2020-05-29 |
| 1043843493 | Nicole S. Baker | Counselor | 406 Deleware Ave Suite 4, Bethlehem, PA 18017 | 2020-02-13 |
| 1346892882 | Laura Troxel | Social Worker | 3894 Courtney St Ste 100, Bethlehem, PA 18017 | 2019-07-15 |
| 1124684394 | Coleen Anne Joswick | Occupational Therapy Assistant | 1389 Kirkland Village Circle, Bethlehem, PA 18017 | 2019-05-14 |
| 1073005278 | Mhd Ghayath Alhalabi | Dentist | 3739 Bath Pike, Bethlehem, PA 18017 | 2018-06-04 |
| 1225481724 | Universal Clinical Laboratories LLC | Clinical Medical Laboratory | 87 S Commerce Way, Ste 700, Bethlehem, PA 18017 | 2016-07-20 |
| 1306221080 | Sara Joyce Robertson | Physical Therapist | 3500 Fairview St., Bethlehem, PA 18017 | 2015-07-23 |
| 1356740682 | Laura Nicole Danner | Counselor | 2045 Westgate Drive Suite 304, Gateway Professional Building, Bethlehem, PA 18017 | 2014-08-22 |
| 1588084594 | Piotr Filip Zembrzuski | Family Medicine | 2830 Easton Avenue, Bethlehem, PA 18017 | 2014-04-17 |
| 1689098816 | The Arc of Lehigh and Northampton Counties, Inc. | Day Training, Developmentally Disabled Services | 2289 Avenue A, Bethlehem, PA 18017 | 2014-02-07 |
| Find all providers in zip 18017 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295295772 | Danielle Marie Roth | Audiologist | 2851 Baglyos Cir Ste 201, Bethlehem, PA 18020-8038 | 2019-03-21 |
| 1356861132 | Janel M Briggs | Audiologist | 2571 Baglyos Cir Ste B28, Bethlehem, PA 18020-8050 | 2017-06-22 |
| 1477810372 | Center for Audiology Services Inc. | Audiologist | 2591 Baglyos Cir Ste C48, Bethlehem, PA 18020-8058 | 2012-04-16 |
| 1174656631 | Audiology Services | Audiologist | 1415 Princeton Dr, Bethlehem, PA 18017-9168 | 2007-03-13 |
| 1881215861 | Kerrin Richard | Audiologist | 3445 High Point Blvd Ste 400, Bethlehem, PA 18017-7817 | 2020-05-01 |
| 1235784604 | Jane Ellen Trego | Audiologist | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2019-08-02 |
| 1104317577 | Laura Grinstead | Audiologist | 2591 Baglyos Cir Ste C48, Bethlehem, PA 18020-8058 | 2018-05-22 |
| 1427567643 | Shelby Elizabeth Favre | Audiologist | 1770 Bathgate Rd, Bethlehem, PA 18017-7334 | 2017-09-20 |
| 1861913154 | Devon Beebe Palumbo | Audiologist | 3445 High Point Blvd Ste 400, Bethlehem, PA 18017-7817 | 2017-06-28 |
| 1972038891 | Stephanie Thorne | Audiologist | 3445 High Point Blvd, Suite 400, Bethlehem, PA 18017-7809 | 2017-04-28 |
| Find all providers in BETHLEHEM | ||||
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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.