MISS TARESA WAGNER (NPI# 1063939403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063939403 |
| Entity Type | Individual |
| Full Name | MISS TARESA WAGNER |
| Other Name | TARESA WAGNER |
| Credential | NP-C |
| Practice Address |
8000 N Sam Houston Pkwy E Humble TX 77396-2900 |
| Mailing Address |
11741 Jelicoe Dr Houston TX 77047-3521 |
| Practice Telephone | 8327953593 |
| Mailing Telephone | 2147144520 |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2020-03-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP134969 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8000 N SAM HOUSTON PKWY E |
| City | HUMBLE |
| State | TX |
| Zip Code | 77396-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568566388 | Cvs Pharmacy Inc | Pharmacy | 8000 N Sam Houston Pkwy E, Humble, TX 77396-2900 | 2006-09-12 |
| 1538778311 | Denyse Thorne | Nurse Practitioner | 8000 N Sam Houston Pkwy E, Humble, TX 77396-2900 | 2020-07-28 |
| 1295297539 | Ngozi Ugwuoke | Nurse Practitioner | 8000 N Sam Houston Pkwy E, Humble, TX 77396-2900 | 2019-04-04 |
| 1417433087 | Donna J Spoerle | Nurse Practitioner | 8000 N Sam Houston Pkwy E, Humble, TX 77396-2900 | 2018-07-17 |
| 1689109043 | Hannah Ogunyomi | Nurse Practitioner | 8000 N Sam Houston Pkwy E, Humble, TX 77396-2900 | 2017-04-24 |
| 1144772138 | Denise Ryan | Nurse Practitioner | 8000 N Sam Houston Pkwy E, Humble, TX 77396 | 2016-10-26 |
| 1972900181 | Charnita Rae Anderson | Nurse Practitioner | 8000 N Sam Houston Pkwy E, Humble, TX 77396-2900 | 2014-12-03 |
| 1275953382 | Serena Marie Lopez | Nurse Practitioner | 8000 N Sam Houston Pkwy E, Humble, TX 77396-2900 | 2014-04-16 |
| 1215351085 | Staci Michelle Biscamp | Nurse Practitioner | 8000 N Sam Houston Pkwy E, Humble, TX 77396-2900 | 2014-02-13 |
| 1235481037 | Kelly O'neal Callahan | Nurse Practitioner | 8000 N Sam Houston Pkwy E, Humble, TX 77396-2900 | 2012-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497361570 | Lawanza L Nelms | Registered Nurse | 9519 Cimarroncito Ln, Humble, TX 77396 | 2020-09-23 |
| 1821636564 | Radiant Dermatology Fall Creek Pllc | Physician Assistant | 9240 N Sam Houston Pkwy E, Ste 201, Humble, TX 77396 | 2019-12-12 |
| 1952806002 | Adonna Weaver | Counselor | 9659 N. Sam Houston Parkway East, Suite 150 #324, Humble, TX 77396 | 2018-03-29 |
| 1710439484 | Simpke LLC | Chiropractor | 9303 Water Edge Point Lane, Humble, TX 77396 | 2016-10-28 |
| 1619338027 | Christopher Daniel Roundy | Chiropractor | 11347 N Sam Houston Pkwy E, Humble, TX 77396 | 2016-03-11 |
| 1992198923 | F. C. Behavioral Health, Pllc | Clinic/Center | 17810 Spring Tree Drive, Humble, TX 77396 | 2015-03-16 |
| 1417378688 | Menard's Tranportation | Private Vehicle | 15815 Murrelet Ct, Humble, TX 77396 | 2013-12-13 |
| 1124383195 | Tammie M. Thibodeaux | Dentist | 11501 North Sam Houston Parkway East, Suite C, Humble, TX 77396 | 2012-07-05 |
| 1528373271 | Summer Creek Physicians, Pllc | Family Medicine | 11501 North Sam Houston East Pkwy, Suite B, Humble, TX 77396 | 2010-08-18 |
| 1033347752 | Susmitha Jasti | Dentist | 4801 Wilson Road, Ste 200, Humble, TX 77396 | 2009-07-01 |
| Find all providers in zip 77396 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374100 | Victor Monterrey | Nurse Practitioner | 18347 Yellowstone Trl, Humble, TX 77346-3044 | 2020-07-29 |
| 1851915367 | Kayeeta Vernetta Sauls | Nurse Practitioner | 5303 Atascocita Rd Apt 618, Humble, TX 77346-2808 | 2020-06-01 |
| 1689203994 | Brenda Baluyut | Nurse Practitioner | 14610 Fall Creek Bend Ct, Humble, TX 77396-3556 | 2020-04-07 |
| 1033746987 | Ruth W Nginyi | Nurse Practitioner | 17202 Spirit Falls Ct, Humble, TX 77346-3789 | 2020-03-23 |
| 1659902054 | Jennifer Juarez | Nurse Practitioner | 11411 N Sam Houston Pkwy E Ste 146, Humble, TX 77396-5903 | 2020-02-04 |
| 1336605732 | Sammy Caleb Melendez | Nurse Practitioner | 7531 Leaftex Dr, Humble, TX 77396-2613 | 2019-02-11 |
| 1528531704 | Sheryl Yvette Dennis | Nurse Practitioner | 12918 Dunbar Cave Ct, Humble, TX 77346-3799 | 2019-01-10 |
| 1083198105 | Tenille Gibson-farria | Nurse Practitioner | 21210 Fox Orchard Ct, Humble, TX 77338-4392 | 2018-09-25 |
| 1134612708 | Amy Kathleen Daigle | Nurse Practitioner | 20440 Us-59, Suite 500, Humble, TX 77338 | 2018-06-08 |
| 1679064711 | Amy Sengler | Nurse Practitioner | 19411 Mckay Dr Ste 100, Humble, TX 77338-5713 | 2018-05-24 |
| Find all providers in HUMBLE | ||||
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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.