CASSIE J WAGNER (NPI# 1134523269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134523269 |
| Entity Type | Individual |
| Full Name | CASSIE J WAGNER |
| Other Name | CASSIE J BROOME |
| Credential | NP |
| Practice Address |
840 W Us Highway 18 Garner IA 50438-1023 |
| Mailing Address |
403 1st St Se Belmond IA 50421-1201 |
| Practice Telephone | 6419251500 |
| Practice Fax Number | 6419251507 |
| Mailing Telephone | 6414443500 |
| Mailing Fax Number | 5155329245 |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2019-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
C112229 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
C156954 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
C112229 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0222X |
Nurse Practitioner Specialization: Pediatrics, Critical Care |
C112229 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1600 W 22nd St, Sioux Falls, SD 571051521 | 6053121000 |
| Street Address |
840 W US HIGHWAY 18 |
| City | GARNER |
| State | IA |
| Zip Code | 50438-1023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295021392 | Renee Diamond | Family Medicine | 840 W Us Highway 18, Garner, IA 50438-1023 | 2011-06-27 |
| 1265065270 | Tara Ann Rochleau | Nurse Practitioner | 840 W Us Highway 18, Garner, IA 50438-1023 | 2020-02-18 |
| 1528538808 | Belmond Community Hospital | Clinic/Center | 840 W Us Highway 18, Garner, IA 50438-1023 | 2018-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982812442 | Tammy Abbas | Pharmacist | 930 Hwy 18 West, Garner, IA 50438 | 2007-05-18 |
| 1164560793 | Marc A. Fritz | Chiropractor | 680 W Us Highway 18, Garner, IA 50438-1020 | 2007-02-03 |
| 1952563884 | Garner Chiropractic Center, PC | Chiropractor | 680 W Us Highway 18, Garner, IA 50438-1020 | 2008-07-01 |
| 1093236275 | Eastern Iowa Therapeutics P.C. | Occupational Therapist | 720 W Us Highway 18, Garner, IA 50438-1022 | 2017-06-28 |
| 1689209223 | Jamie Nicole Smith | Specialist/Technologist | 720 W Us Highway 18, Garner, IA 50438-1022 | 2020-03-04 |
| 1770594285 | Tammys Pharmacy Inc | Pharmacy | 930 W Us Highway 18, Garner, IA 50438-1034 | 2006-08-10 |
| 1578595914 | Roy A Tesene | Dentist | 55 State St, Garner, IA 50438-1108 | 2006-07-07 |
| 1760835474 | Breanne Mumm-reed | Dentist | 55 State St, Garner, IA 50438-1108 | 2016-07-18 |
| 1700907839 | Donald W. Furman, P.C. | Optometrist | 45 State St, Garner, IA 50438-1108 | 2007-04-03 |
| 1750402541 | Donald Wallace Furman | Optometrist | 45 State St, Garner, IA 50438-1108 | 2007-04-02 |
| Find all providers in zip 50438 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455017 | Amy Danielle Dobberfuhl | Nurse Practitioner | 6833 Coburn Ln, Johnston, IA 50131-1243 | 2020-10-23 |
| 1326586249 | Abby Blacker | Nurse Practitioner | 10633 Nw 106th Ave, Granger, IA 50109-9775 | 2017-02-11 |
| 1457745986 | Amanda Larson | Nurse Practitioner | 420 12th St Se, Apt 16, Le Mars, IA 51031-2800 | 2015-03-23 |
| 1376951715 | Leslie Arends | Nurse Practitioner | 101 College of Nursing Building, 50 Newton Rd, Iowa City, IA 52242-1121 | 2014-07-29 |
| 1871928093 | Catherine Ann Roche | Nurse Practitioner | 5510 Utica Ridge Rd, Suite 100, Davenport, IA 52807-2946 | 2013-09-06 |
| 1063758605 | Blank Childrens Hospital | Nurse Practitioner | 6540 Ne 12th Ave, Pleasant Hill, IA 50327-8828 | 2013-01-01 |
| 1982984183 | Amanda Marie Ostergaard | Nurse Practitioner | 974 73rd Street, Suite 33, Windsor Heights, IA 50324-1026 | 2011-08-19 |
| 1831498146 | Julie Louise Ritland | Nurse Practitioner | 424 Kingbard Blvd, Waterloo, IA 50701-3056 | 2011-03-25 |
| 1033437140 | Teresa Dale Schenck | Nurse Practitioner | 400 N. 17th St, Teresa Schenck Dnp, Keokuk, IA 52632 | 2010-05-13 |
| 1538313614 | Susan E Rumelhart | Nurse Practitioner | 1243 20th St Sw, Cedar Rapids, IA 52404-1635 | 2008-11-16 |
| 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.