JESSICA WAGNER (NPI# 1134604648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134604648 |
| Entity Type | Individual |
| Full Name | JESSICA WAGNER |
| Practice Address |
4802 10th Ave Brooklyn NY 11219-2916 |
| Mailing Address |
97 Harris Ln Staten Island NY 10309-1505 |
| Practice Telephone | 7182833071 |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2018-10-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 578558 | NY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 163W00000X REGISTERED NURSE | 578558 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130629 | Jessica Noel Wagner | Nurse Practitioner | 12828 S 3600 W Ste 101, Riverton, UT 84065-6853 | 2020-09-29 |
| 1629608104 | Jessica E Wagner | Psychologist | 4633 Aicholtz Rd, Cincinnati, OH 45244-1447 | 2020-01-23 |
| 1649837246 | Jessica Wagner | Physician Assistant | 1296 Jeffco Blvd, Arnold, MO 63010-2138 | 2019-05-20 |
| 1265982474 | Jessica Wagner | Counselor | 224 Alexander St, Rochester, NY 14607-4000 | 2016-10-12 |
| 1013365246 | Jessica Lynn Wagner | Audiologist | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2016-05-27 |
| 1245606441 | Jessica Danielle Wagner | Nurse Practitioner | 7334 S Lindbergh Blvd, Saint Louis, MO 63125-4522 | 2015-08-11 |
| 1891187951 | Jessica Wagner | Physician Assistant | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2015-02-26 |
| 1316347198 | Jessica Wagner | Social Worker | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2014-08-28 |
| 1558701839 | Jessica Leigh Wagner | Behavioral Analyst | 901 N Monroe St, Suite 200, Spokane, WA 99201-2104 | 2013-07-01 |
| 1518298058 | Jessica Wagner | Physical Therapist | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2010-01-22 |
| Street Address |
4802 10TH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11219-2916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316943871 | Samantha Paige Jellinek | Pharmacist | 4802 10th Ave, Brooklyn, NY 11219-2844 | 2005-06-21 |
| 1730789959 | Arjun Basnet | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-10-27 |
| 1679171623 | Shehanaz Shajahan | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-10-13 |
| 1215534524 | Syed Mohammad Mazhar Uddin | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-10-08 |
| 1619581899 | Laurel Wright | Psychologist | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-09-03 |
| 1780296749 | Rabiah Ashraf | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-08-20 |
| 1275142820 | Jenna Danae Katherine Kroeker | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-07-29 |
| 1720696347 | Jay Donald Keith | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-07-20 |
| 1003424912 | Amit Dhaliwal | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-07-16 |
| 1912515826 | Supraja Achuthanandan | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2020-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127163 | Chava Bokchin | Registered Nurse | 6200 15th Avenue, Brooklyn, NY 11219 | 2020-09-04 |
| 1164033643 | Debbie Evadne Evans-wright | Nurse Practitioner | 979 48th Street, Brooklyn, NY 11219 | 2020-08-10 |
| 1528614559 | Jonathan Benjamin Goldstein | Specialist | Yeled Vyalda 1312 38 Street, Brooklyn, NY 11219 | 2019-08-15 |
| 1235782301 | Vanessa Walton | Social Worker | 4012 New Utrecht Avenue, Apt 1, Brooklyn, NY 11219 | 2019-07-18 |
| 1083184618 | Sandra Murray | Licensed Practical Nurse | 6321 New Utrecht Avenue Second Floor, Brooklyn, NY 11219 | 2018-11-27 |
| 1023588746 | Wanipa Muwowo-nwade | Physician Assistant | 4802 10th Ave Rm 301, Brooklyn, NY 11219 | 2018-11-26 |
| 1366919896 | Evelin Ponce | Licensed Practical Nurse | 6321 New Utrecht Avenue, Second Floor, Brooklyn, NY 11219 | 2018-11-02 |
| 1083180301 | Yefim Simkhayev | Occupational Therapist | 1317 52nd St, Brooklyn, NY 11219 | 2018-10-15 |
| 1598240186 | F & D Pharmacy Inc | Pharmacy | 5504 -13 Ave, Brooklyn, NY 11219 | 2018-09-28 |
| 1245737469 | Yekaterina Joltikov | Student in an Organized Health Care Education/Training Program | Miamonides Medical Center, 4802 10th Ave, Brooklyn, NY 11219 | 2018-04-13 |
| Find all providers in zip 11219 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407133 | Johanna Varela | Registered Nurse | 451 Central Ave, Brooklyn, NY 11221-5201 | 2020-11-04 |
| 1033710462 | Alexander Galayev | Registered Nurse | 3235 Emmons Ave Apt 312, Brooklyn, NY 11235-1133 | 2020-11-03 |
| 1083214662 | Efe A Okoh | Registered Nurse | 2425 Nostrand Ave Apt 402, Brooklyn, NY 11210-4022 | 2020-10-31 |
| 1316547003 | Maria Lolita Fox | Registered Nurse | 398 Monroe St Apt 2, Brooklyn, NY 11221-6907 | 2020-10-30 |
| 1982204087 | Francisco Rosario Diaz | Registered Nurse | 264 Sullivan Pl, Brooklyn, NY 11225-2972 | 2020-10-28 |
| 1730789140 | Courtney Gibbs | Registered Nurse | 3614 Clarendon Rd, Brooklyn, NY 11203-5104 | 2020-10-27 |
| 1245830793 | Shavon Cecil Innocent | Registered Nurse | 901 Washington Ave Apt 4j, Brooklyn, NY 11225-1047 | 2020-10-26 |
| 1144829698 | Adebayo Mudashiru Lawal | Registered Nurse | 518 Kosciuszko St Apt 3l, Brooklyn, NY 11221-5665 | 2020-10-25 |
| 1457950388 | Michelle Mccoy | Registered Nurse | 11 Mckeever Pl Apt 5a, Brooklyn, NY 11225-2553 | 2020-10-21 |
| 1972102929 | Svetlana Voronok | Registered Nurse | 2812 E 27th St Apt 1b, Brooklyn, NY 11235-2258 | 2020-10-21 |
| Find all providers in BROOKLYN | ||||
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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.