REBECCA LEE WAGNER (NPI# 1053720490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053720490 |
| Entity Type | Individual |
| Full Name | REBECCA LEE WAGNER |
| Other Name | REBECCA W REBMAN |
| Credential | PA-C |
| Practice Address |
601 Childrens Ln Norfolk VA 23507-1910 |
| Mailing Address |
609 Piney Branch Dr Apt 104 Virginia Beach VA 23451-6720 |
| Practice Telephone | 7576687214 |
| Practice Fax Number | 7576688225 |
| Mailing Telephone | 7576423860 |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2020-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110006278 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3415 Bainbridge Ave, Mmc Cham, Bronx, NY 104672403 | 7187412426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376976894 | Rebecca Michelle Wagner | Veterinarian | 243 S Elmwood Ave, Buffalo, NY 14201-2340 | 2013-08-20 |
| 1093020372 | Rebecca L Wagner | Dentist | 129 Chambers Hill Dr, Chambersburg, PA 17201-7302 | 2010-08-11 |
| 1184672552 | Rebecca De Haven Wagner | Social Worker | 9401 Mcknight Rd Ste 308, Pittsburgh, PA 15237-6000 | 2006-05-05 |
| 1164033759 | Rebecca Louise Wagner | Counselor | 688 White Plains Rd Ste 232, Scarsdale, NY 10583-5015 | 2020-08-16 |
| 1750880324 | Rebecca Tina Wagner | Behavior Technician | 6704 Yellowhammer Pl, North Las Vegas, NV 89084-2693 | 2018-02-08 |
| 1194261032 | Rebecca Masako Wagner | Counselor | 3300 Glenwood St, Eureka, CA 95501-3463 | 2017-01-17 |
| 1134662299 | Rebecca Wagner | Physician Assistant | Usa Meddac Bavaria, Cmr 411 Bldg 700, Apo, AE 09112 | 2016-11-22 |
| 1518399054 | Rebecca Wagner | Pharmacist | 501 Dietz Lane, Beverly, OH 45715 | 2013-08-07 |
| 1114264082 | Rebecca Mary Wagner | Pharmacist | 84 Tuscan Way, St Augustine, FL 32092-1831 | 2013-01-11 |
| 1548414535 | Rebecca Wagner | Physical Therapy Assistant | 5530 Wisconsin Ave, Chevy Chase, MD 20815-4404 | 2008-11-05 |
| Street Address |
601 CHILDRENS LN |
| City | NORFOLK |
| State | VA |
| Zip Code | 23507-1910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003812835 | Peter M Dozier | Psychiatry & Neurology | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2005-06-27 |
| 1174122535 | Kristen Marie Atkins | Nurse Practitioner | 601 Childrens Ln, Norfolk, VA 23507-1971 | 2020-10-18 |
| 1538767066 | Victoria M Cartagena | Social Worker | 601 Childrens Ln, Norfolk, VA 23507-1971 | 2020-10-16 |
| 1922624790 | Kelsey Marie Stroud | Nurse Practitioner | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2020-06-17 |
| 1932722626 | Amanda Petroski | Specialist/Technologist, Other | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2020-05-28 |
| 1659994614 | Dominique A. Watt | Social Worker | 601 Childrens Ln, Norfolk, VA 23507-1971 | 2020-05-26 |
| 1336762749 | Christopher Michael Spencer | Genetic Counselor, MS | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2020-05-20 |
| 1720608599 | Caitlin Dorman | Registered Nurse | 601 Childrens Ln, Norfolk, VA 23507-1971 | 2020-04-22 |
| 1093335382 | Emilie Marie Heidel | Student in an Organized Health Care Education/Training Program | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2020-04-16 |
| 1700405107 | Erin Kelley Swartz | Genetic Counselor, MS | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2020-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790306801 | Paolo Quentin Rigo | Student in an Organized Health Care Education/Training Program | Smith Rogers Hall, 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-04-29 |
| 1811526221 | Sean M Whitty | Student in an Organized Health Care Education/Training Program | Emergency Medicine Residency, Raleigh Building, St 304, 600 Gresham Dr, Norfolk, VA 23507 | 2020-04-07 |
| 1962030643 | Shekinah Joy Vaughn | Student in an Organized Health Care Education/Training Program | 385 Mowbray Arch Ste 203205, Norfolk, VA 23507 | 2020-03-30 |
| 1982231403 | Jaxon Vallely | Student in an Organized Health Care Education/Training Program | 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-03-25 |
| 1437714656 | Kanishk Deep Sharma | Student in an Organized Health Care Education/Training Program | 825 Fairfax Avenue Eastern Virginia Medical School Inte, Suite 445, Norfolk, VA 23507 | 2019-05-02 |
| 1619439460 | Dylan Woolum | Student in an Organized Health Care Education/Training Program | Raleigh Building, Suite 304, 600 Gresham Drive, Norfolk, VA 23507 | 2019-04-02 |
| 1477012623 | Jessie R Jones | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave Ste 513a, Norfolk, VA 23507 | 2019-03-18 |
| 1316416787 | Lindsey Sawyer | Genetic Counselor, MS | Childrens Hospital of The Kings Daughters, 601 Childrens Lane, Norfolk, VA 23507 | 2018-11-15 |
| 1881188159 | Patrick Michael Haar | Pharmacist | 601 Pembroke Avenue, Apt 104, Norfolk, VA 23507 | 2018-06-19 |
| 1316438377 | Monika Pajhal | Student in an Organized Health Care Education/Training Program | Eastern Virginia Medical School (internal Medicine), Internal Medicine, 825 Fairfax Ave, Suite 410, Norfolk, VA 23507 | 2018-05-25 |
| Find all providers in zip 23507 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184434 | Jacob Solomon Morrill | Physician Assistant | 2701 W Norfolk Ave Fl 4, Norfolk, NE 68701-4407 | 2020-11-07 |
| 1558990291 | Ellen Marie Pagliarulo | Physician Assistant | 21 Ridge Rd, Norfolk, MA 02056-1748 | 2020-04-04 |
| 1437785870 | Marissa Knott | Physician Assistant | 7509 Honeysuckle Rd, Norfolk, VA 23518-4514 | 2020-03-17 |
| 1700428349 | Sydney Charmagne Pawsey | Physician Assistant | 601 Pembroke Ave Apt 610, Norfolk, VA 23507-2051 | 2019-10-15 |
| 1831730944 | Brittany Anne Porter | Physician Assistant | 1362 Virgilina Ave, Norfolk, VA 23503-2218 | 2019-10-01 |
| 1437626686 | Kayla Sommers | Physician Assistant | 601 Childrens Ln Fl 2, Norfolk, VA 23507-1910 | 2018-10-25 |
| 1821573593 | Giselle Castaneda De Guzman | Physician Assistant | 400 W Brambleton Ave Ste 104, Norfolk, VA 23510-1151 | 2018-09-28 |
| 1093297103 | Nicole Marie Owens | Physician Assistant | 2701 W. Norfolk Ave, Norfolk, NE 68701 | 2018-09-05 |
| 1265925150 | Emily Burke | Physician Assistant | 171 Kempsville Rd Ste 200, Norfolk, VA 23502-4700 | 2018-06-14 |
| 1124546163 | Jonathan Joseph Daly | Physician Assistant | 171 Kempsville Rd Bldg A2nd, Norfolk, VA 23502-4700 | 2017-08-30 |
| Find all providers in NORFOLK | ||||
Please comment or provide details below to improve the information on REBECCA LEE 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.