DR. KIMBERLY N WAGNER (NPI# 1104176593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104176593 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY N WAGNER |
| Credential | DPT |
| Practice Address |
750 Coronado Center Dr Suite 120 Henderson NV 89052-5034 |
| Mailing Address |
6617 Sunset Pines St Las Vegas NV 89148-4251 |
| Practice Telephone | 7025644116 |
| Mailing Telephone | 9034531709 |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2019-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
2757 | NV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053755959 | Kimberly Wagner | Counselor | 533 Judy Ann Dr, Hahira, GA 31632-1303 | 2013-04-22 |
| 1164691465 | Kimberly H Wagner | Nurse Practitioner | 125 W Interstate 30, Royse City, TX 75189-7512 | 2008-02-21 |
| 1245352855 | Kimberly Wagner | Psychologist | 201 N Rose Ave, Room 32, Bloomington, IN 47405-1005 | 2007-04-04 |
| 1497379788 | Kimberly Ann Wagner | Registered Nurse | 6480 Technology Ave, Kalamazoo, MI 49009-8119 | 2020-06-02 |
| 1124542980 | Kimberly Marie Wagner | Specialist/Technologist | 59 Executive Park S Ste 1100, Atlanta, GA 30329-2208 | 2017-08-02 |
| 1861885477 | Kimberly Wagner | Specialist | 23936 Michigan Ave, Dearborn, MI 48124-1833 | 2015-03-07 |
| 1093154122 | Kimberly Wagner | Family Medicine | 2970 Pierce Rd, Suite 2, Saginaw, MI 48604-8810 | 2013-06-21 |
| 1588008320 | Kimberly Wagner | Counselor | 3830 S Cushman St, Fairbanks, AK 99701-7530 | 2013-04-23 |
| 1114237575 | Kimberly Ann Wagner | Licensed Practical Nurse | 1 Perryman St, Lebanon, IL 62254-1356 | 2010-10-19 |
| 1922325497 | Kimberly Lue Wagner | Psychiatry & Neurology | 2312 N Nevada Ave, Suite 100, Colorado Springs, CO 80907-5302 | 2010-04-23 |
| Street Address |
750 CORONADO CENTER DR SUITE 120 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-5034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316998552 | Adam Garrett Cleaver | Physical Therapist | 750 Coronado Center Dr, #140, Henderson, NV 89052-5034 | 2006-05-12 |
| 1053824540 | Sara Ellen Dolensky | Occupational Therapist | 750 Coronado Center Dr, Henderson, NV 89052-5034 | 2017-11-07 |
| 1710423959 | Mitzi Gillen | Occupational Therapist | 750 Coronado Center Dr, #120, Henderson, NV 89052-5034 | 2017-01-11 |
| 1043764681 | Jason Lowrey | Physical Therapist | 750 Coronado Center Dr, #140, Henderson, NV 89052-5034 | 2016-08-11 |
| 1629313697 | Alison Thompson | Occupational Therapist | 750 Coronado Center Dr, 140, Henderson, NV 89052-5034 | 2012-12-03 |
| 1831444256 | Rebecca Michelle Bush | Physical Therapist | 750 Coronado Center Dr, Suite 120, Henderson, NV 89052-5034 | 2012-07-23 |
| 1255695938 | Leslee Rosenlof | Community Health Worker | 750 Coronado Center Dr, Henderson, NV 89052-5034 | 2012-06-27 |
| 1518223585 | Hitasha Mitera | Speech-Language Pathologist | 750 Coronado Center Dr, Henderson, NV 89052-5034 | 2012-04-04 |
| 1598921496 | Graham Mcaleer Linck | Physical Therapist | 750 Coronado Center Dr, Suite 140, Henderson, NV 89052-5034 | 2008-07-31 |
| 1881809465 | Stephanie Michelle Pandullo | Speech-Language Pathologist | 750 Coronado Center Dr, Henderson, NV 89052-5034 | 2007-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| Find all providers in zip 89052 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154631216 | Robbin Ann Hickman | Physical Therapist | 2951 Siena Heights, Apt. 3524, Henderson, NV 89052-3883 | 2010-10-07 |
| 1073094249 | Anna Elizabeth Low | Physical Therapist | 750 Coronado Center Dr Ste 120, Henderson, NV 89052-5035 | 2018-08-27 |
| 1023547734 | Neil Alexander Scheuermann | Physical Therapist | 750 Coronado Center Dr Ste 120, Henderson, NV 89052-5035 | 2017-06-06 |
| 1699958819 | Devon A Allgower | Physical Therapist | 2780 W Horizon Ridge Pkwy, Suite 40, Henderson, NV 89052-3995 | 2007-12-11 |
| 1043344161 | Korina Woods | Physical Therapist | 2780 W Horizon Ridge Pkwy, Suite 40, Henderson, NV 89052-3995 | 2007-03-14 |
| 1336255322 | Tricia Catalino | Physical Therapist | 874 American Pacific Dr, Henderson, NV 89014-8800 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265094270 | Rehab Directives LLC | Physical Therapist | 3165 N Rainbow Blvd, Las Vegas, NV 89108-4578 | 2019-07-01 |
| 1659722502 | Kimberly N. Beeman, Pt, Dpt, Pllc | Physical Therapist | 2740 Twin Palms Cir, Las Vegas, NV 89117-2977 | 2016-06-22 |
| 1558674556 | Vickie Cracchiolo | Physical Therapist | 271 Fredricksburg Rd, Gardnerville, NV 89460-6572 | 2010-07-19 |
| 1841527827 | Shelley Celeste | Physical Therapist | 3555 W Reno Ave Ste F, Las Vegas, NV 89118-1609 | 2009-11-11 |
| 1649435488 | Kristen Jolene Barbour | Physical Therapist | 8308 Hampshire Bay St, Las Vegas, NV 89139-6830 | 2008-07-22 |
| 1194984179 | Jennifer Spanheimer | Physical Therapist | 6440 Skypointe Drive, #140-398, Las Vegas, NV 89131 | 2008-06-05 |
| 1417083718 | Marilyn Mailhot Mcdonald | Physical Therapist | 14480 Chamy Dr, Reno, NV 89521-7313 | 2007-02-23 |
| 1215084843 | Josephine Galan De Leon | Physical Therapist | 505 E Windmill Ln, #1 B-125, Las Vegas, NV 89123-1869 | 2007-01-04 |
| 1497810576 | My Left Foot Children's Therapy | Physical Therapist | 2012 S. Jones Blvd, Las Vegas, NV 89146 | 2006-12-27 |
| 1386705580 | Foundation for Positively Kids | Physical Therapist | 701 N Pecos Rd, Bldg M, Las Vegas, NV 89101-2400 | 2006-12-12 |
| 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.