MRS. TIA J WAGNER (NPI# 1104315704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104315704 |
| Entity Type | Individual |
| Full Name | MRS. TIA J WAGNER |
| Credential | RN |
| Practice Address |
317 S Norton St Marion IN 46952-3296 |
| Practice Telephone | 7656640101 |
| Practice Fax Number | 7656688391 |
| Mailing Telephone | 7656640101 |
| Mailing Fax Number | 7656688391 |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
28201834A | IN | Nursing Service Providers |
| Street Address |
317 S NORTON ST |
| City | MARION |
| State | IN |
| Zip Code | 46952-3296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548707748 | Premier Care of Indiana, Inc. | Community/Behavioral Health | 317 S Norton St, Marion, IN 46952-3296 | 2017-01-25 |
| 1134741069 | Abagail Paige Alumbaugh | Counselor | 317 S Norton St, Marion, IN 46952-3296 | 2020-05-14 |
| 1215559141 | Ciera Johnson | Licensed Practical Nurse | 317 S Norton St, Marion, IN 46952-3296 | 2020-05-14 |
| 1124640057 | Whitney Baker | Counselor | 317 S Norton St, Marion, IN 46952-3296 | 2020-05-14 |
| 1659912897 | Aubrey Kristen Richards | Licensed Practical Nurse | 317 S Norton St, Marion, IN 46952-3296 | 2019-09-30 |
| 1073164372 | Ashley Nicole Wilkins | Counselor | 317 S Norton St, Marion, IN 46952-3296 | 2019-09-27 |
| 1568013878 | Lisa Rice | Licensed Practical Nurse | 317 S Norton St, Marion, IN 46952-3296 | 2019-09-27 |
| 1356992689 | Kortney Mitchell | Licensed Practical Nurse | 317 S Norton St, Marion, IN 46952-3296 | 2019-09-27 |
| 1336790658 | Nancy Jeannine Coffman | Licensed Practical Nurse | 317 S Norton St, Marion, IN 46952-3296 | 2019-09-27 |
| 1124517743 | Kelly M Folbrecht | Licensed Practical Nurse | 317 S Norton St, Marion, IN 46952-3296 | 2018-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982245874 | John Robert Searfoss Sr. | Counselor | 314 S Norton Ave., Marion, IN 46952 | 2019-10-02 |
| 1063069755 | Andrea Marie Brown | Behavior Technician | 2315 W 2nd St, Marion, IN 46952 | 2019-08-19 |
| 1548767767 | Johnnie Micheal Hiles | Counselor | 315 South Norton Ave., Marion, IN 46952 | 2018-04-13 |
| 1669979936 | Sheila Ann Johnson | Counselor | 315 S. Norton Ave, Marion, IN 46952 | 2018-04-12 |
| 1679070957 | Marissa Lynn Castillo | Counselor | 315 S Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| 1326545609 | Eumalla Lampkins | Case Manager/Care Coordinator | 315 South Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| 1285011650 | Forefront Dermatology, S.c. | Dermatology | 330 N Wabash Ave Ste 360, Marion, IN 46952 | 2015-05-05 |
| 1649510959 | Cancer Services of Grant County Inc. | Prosthetic/Orthotic Supplier | 305 S. Norton Ave., Marion, IN 46952 | 2013-02-22 |
| 1326350844 | Beth Ellen Krouse | Speech-Language Pathologist | 1800 Wabash Ave, Suite 200, Marion, IN 46952 | 2010-07-13 |
| 1093032138 | Thomas Alfred Beck | General Practice | 919 Euclid Avenue, Marion, IN 46952 | 2010-04-29 |
| Find all providers in zip 46952 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346840535 | Jeffery Raudabaugh | Registered Nurse | 827 N Main St, Marion, OH 43302-1736 | 2020-10-28 |
| 1689154080 | Heather Nicolosi | Registered Nurse | 827 N Main St, Marion, OH 43302-1736 | 2018-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457964843 | Mateland Lestery Keith IIi | Registered Nurse | 8309 Denver Dr, Avon, IN 46123-0123 | 2020-08-26 |
| 1255402756 | Craig Cameron George | Registered Nurse | 3756 East Centenary Road, Mooresville, IN 46158-2033 | 2006-11-13 |
| 1033697032 | Ladonna Lucille Bell | Registered Nurse | 4747 W 24th Ave, Gary, IN 46406-2821 | 2018-08-01 |
| 1750834206 | Carolyn Richards | Registered Nurse | 816 Rudolph Way, Greendale, IN 47025-8312 | 2016-08-02 |
| 1780914515 | Laura George | Registered Nurse | 7509 Charlestown Pike, Charlestown, IN 47111-9623 | 2009-12-29 |
| 1194827501 | Phyllis Elizabeth Baker | Registered Nurse | 1481 West 10th Street, Indianapolis, IN 46202 | 2006-09-05 |
Please comment or provide details below to improve the information on MRS. TIA J 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.