KIMBERLY MARIE WAGNER


Address: 59 Executive Park S Ste 1100, Atlanta, GA 30329-2208
Phone: 4047786330

KIMBERLY MARIE WAGNER (NPI# 1124542980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124542980
Entity Type Individual
Full Name KIMBERLY MARIE WAGNER
Credential AT
Practice Address 59 Executive Park S Ste 1100
Atlanta
GA 30329-2208
Mailing Address 8259 Wicker Ave
Saint John
IN 46373-8878
Practice Telephone 4047786330
Practice Fax Number 4047786370
Mailing Telephone 2196356560
Mailing Fax Number 2193656561
Enumeration Date 2017-08-02
Last Update Date 2017-08-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
AT002993 GA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA GEORGIA BOARD OF AT AT002993 01

Other Providers KIMBERLY WAGNER

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
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
1104176593 Kimberly N Wagner Physical Therapist 750 Coronado Center Dr, Suite 120, Henderson, NV 89052-5034 2012-09-13
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

Office Location

Street Address 59 EXECUTIVE PARK S STE 1100
City ATLANTA
State GA
Zip Code 30329-2208

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922522887 Timothy Ryan Speller Specialist/Technologist 59 Executive Park S Ste 1100, Atlanta, GA 30329-2208 2017-08-01
1275057986 Charles Aaron Kistler Iv Specialist/Technologist 59 Executive Park S Ste 1100, Atlanta, GA 30329-2208 2017-08-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871084111 Inner Peace Counseling Services,llc Counselor 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 2018-05-22
1912409392 Joie De Vivre Counseling and Therapy Counselor 2801 Buford Highway, Ne, Atlanta, GA 30329 2018-03-01
1902329105 Barbara Dunbar Psychologist 1777 Northeast Expressway, #175, Atlanta, GA 30329 2017-07-19
1114449048 Cricket Cheyenne Gullickson Student in an Organized Health Care Education/Training Program 1371 Briarvista Way Ne, Atlanta, GA 30329 2017-07-12
1902357866 Carla Zimmerly Nurse Practitioner 1711 Tullie Circle, Atlanta, GA 30329 2016-10-17
1316490808 Shahzad Ghori Student in an Organized Health Care Education/Training Program 1727 Druid Oaks Ne, Atlanta, GA 30329 2016-08-01
1023467768 Ashley Elliott Physician Assistant 59 Executive Park, Atlanta, GA 30329 2016-06-03
1285096115 Kimberley Fox Internal Medicine 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 2016-03-21
1275991648 Mary Patricia Joyce Internal Medicine 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 2016-02-01
1346656618 Amelia Muniz Hernandez Pediatrics 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 2014-07-08
Find all providers in zip 30329

Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376157933 Jesus E Aviles Specialist/Technologist 755 Battery Ave Se, Atlanta, GA 30339-3017 2020-09-01
1407467590 Samantha Jean Libby Specialist/Technologist 2550 Akers Mill Rd Se Apt F14, Atlanta, GA 30339-3271 2020-08-12
1063033033 Katelynn Moore Specialist/Technologist 805 Mt Vernon Hwy Nw, Atlanta, GA 30327-4338 2020-04-30
1427689017 Lorraine Kelly Mccall Specialist/Technologist 2241 Jernigan Dr Se, Atlanta, GA 30315-7557 2020-02-01
1962049577 Yoichiro Shimada Specialist/Technologist 4222 Rickenbacker Dr Ne Unit 14, Atlanta, GA 30342-3768 2019-12-02
1245882398 Jaycie Gail Emery Specialist/Technologist 5385 Peachtree Dunwoody Rd Apt 803, Atlanta, GA 30342-2167 2019-07-09
1053973313 Robert Chavis Specialist/Technologist 150 Bobby Dodd Way Edge Building Athletic Training Room, Atlanta, GA 30332-0001 2019-07-07
1649832403 Sarah Twomey Specialist/Technologist 1100 Circle 75 Pkwy Se Ste 1400, Atlanta, GA 30339-3067 2019-07-02
1881159028 Brandon Norris Spires Specialist/Technologist 6000 S Terminal Pkwy, Atlanta, GA 30344 2019-02-01
1083181341 Erin Cole Specialist/Technologist Lakewood Ave Se, Atlanta, GA 30315 2018-10-25
Find all providers in ATLANTA

Competitor

Search similar providers

City ATLANTA
Zip Code 30329

Improve Information

Please comment or provide details below to improve the information on KIMBERLY MARIE WAGNER.

Dataset Information

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.

Trending Searches