AMY WAGNER (NPI# 1174935688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174935688 |
| Entity Type | Individual |
| Full Name | AMY WAGNER |
| Credential | FNP-C |
| Practice Address |
931 Highland Blvd Ste 3130 Bozeman MT 59715-6914 |
| Mailing Address |
937 Highland Blvd Ste 5410 Bozeman MT 59715-6916 |
| Practice Telephone | 4064145070 |
| Mailing Telephone | 4064142400 |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2020-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
146465 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 1174935688 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 773 S Walnut St, Lower Lights Christian Health Center, Marysville, OH 430401643 | 6142741455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642937 | Amy Danielle Wagner | Marriage & Family Therapist | 523 Dixie St Ste 5, Carrollton, GA 30117-3870 | 2019-01-09 |
| 1649695628 | Amy L. Wagner | Behavioral Analyst | 1128 Beville Road, Suite A, Daytona Beach, FL 32114 | 2014-02-27 |
| 1538463997 | Amy Lyn Wagner | Occupational Therapist | 2820 E 53rd Ave, Apt # 48, Spokane, WA 99223-7962 | 2010-12-28 |
| 1710033097 | Amy E Wagner | Physical Therapist | 1428 S Marengo Ave, Alhambra, CA 91803-3001 | 2007-01-26 |
| 1568516698 | Amy Claire Wagner | Psychologist | 104 Central Park Ave, Wilmette, IL 60091-3202 | 2007-01-23 |
| 1174186217 | Amy Marie Wagner | Student in an Organized Health Care Education/Training Program | 6901 Bertner Ave, Houston, TX 77030-3901 | 2019-04-15 |
| 1639654437 | Amy Elizabeth Wagner | Speech-Language Pathologist | 631 Main Street, Richfield, PA 17086 | 2018-09-27 |
| 1568989697 | Amy S Wagner | Counselor | 3544 Edgewater Dr, Orlando, FL 32804-2922 | 2017-08-29 |
| 1942742804 | Amy Nicole Wagner | Nurse Practitioner | 150 N Robertson Blvd, Beverly Hills, CA 90211-2142 | 2016-11-09 |
| 1801340393 | Amy Wagner | Counselor | 2272 95th St, Unit 305, Naperville, IL 60564-8942 | 2016-08-12 |
| Street Address |
931 HIGHLAND BLVD STE 3130 |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59715-6914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730161027 | Patrick Bunkley Gaylor | Internal Medicine | 931 Highland Blvd Ste 3130, Bozeman, MT 59715 | 2005-11-14 |
| 1962950923 | Jessica Story Pope | Nurse Practitioner | 931 Highland Blvd Ste 3130, Bozeman, MT 59715-6914 | 2016-09-19 |
| 1205092400 | Courtney Regan Wagner | Internal Medicine | 931 Highland Blvd Ste 3130, Bozeman, MT 59715-6914 | 2008-08-06 |
| 1104002195 | Justin Daniel Thomas | Internal Medicine | 931 Highland Blvd Ste 3130, Bozeman, MT 59715-6914 | 2008-01-21 |
| 1942499645 | Charlotte A Weiss | Nurse Practitioner | 931 Highland Blvd Ste 3130, Bozeman, MT 59715-6914 | 2007-10-18 |
| 1881602498 | Rebecca Kane | Nurse Practitioner | 931 Highland Blvd Ste 3130, Bozeman, MT 59715-6914 | 2006-08-03 |
| 1851309421 | Jack Hensold | Internal Medicine | 931 Highland Blvd Ste 3130, Bozeman, MT 59715-6914 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152288 | Ch Mh Services (il), LLC | Clinic/Center | 233 E Main St Suite 401, Bozeman, MT 59715 | 2020-10-22 |
| 1134735269 | Montana Therapy and Consulting Pllc | Social Worker | 110 S Grand Ave, Floor 2, Bozeman, MT 59715 | 2020-09-23 |
| 1831715994 | Alyson Raph | Student in an Organized Health Care Education/Training Program | 1 Anna Pearl Sherrick Hal, Bozeman, MT 59715 | 2020-06-24 |
| 1639702780 | Miranda Shields | Massage Therapist | 1001 W. Oak St. Bldg C Ste 210, Bozeman, MT 59715 | 2020-02-18 |
| 1154988590 | Christina Yancy | Massage Therapist | Bldg C, Ste 210, 1001 W Oak St, Bozeman, MT 59715 | 2019-05-21 |
| 1962068767 | Julie A Hisey | Physical Therapist | 1700 W. Koch, Suite 12, Bozeman, MT 59715 | 2019-05-16 |
| 1639631633 | Joshua Wallace | Massage Therapist | 1001 W Oak St, Bldg. C Ste. 210, Bozeman, MT 59715 | 2019-04-01 |
| 1528523388 | Judith Margaret Firehammer | Psychologist | 37 East Main St, Suite 7, Bozeman, MT 59715 | 2019-02-06 |
| 1194280875 | Erica Kotick | Counselor | 2246 Boot Hill Court, Suite 4, Bozeman, MT 59715 | 2019-02-06 |
| 1194291609 | Providence Mental Health Pllc | Social Worker | 2246 Boot Hill Ct. Unit #4, Bozeman, MT 59715 | 2018-10-23 |
| Find all providers in zip 59715 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730796699 | Brandy Colvin | Nurse Practitioner | 709 N Aster Ave, Bozeman, MT 59718-6991 | 2020-09-25 |
| 1831716927 | Chloe Marie Georgeton | Nurse Practitioner | 1288 N 14th Ave Ste 201, Bozeman, MT 59715-8535 | 2020-07-06 |
| 1730737115 | Julie Ann Emerson | Nurse Practitioner | 3244 S 26th Ave, Bozeman, MT 59718-7434 | 2019-08-29 |
| 1588179873 | Melissa N Blixt | Nurse Practitioner | 1805 W. Oak, Bozeman, MT 59718 | 2017-12-07 |
| 1154867521 | Emma Hoegh | Nurse Practitioner | 211 Montana Hall, Bozeman, MT 59717-3260 | 2017-01-10 |
| 1265806475 | Sheri Larue Bagley | Nurse Practitioner | 4644 Danube Ln, Bozeman, MT 59718-8095 | 2015-11-25 |
| 1588936892 | Stephanie Buswell Burkholder | Nurse Practitioner | 215 W Mendenhall St, Room 117, Bozeman, MT 59715-3478 | 2012-02-01 |
| 1801164330 | Christina M. Tooley | Nurse Practitioner | 300 N Willson Ave Ste 2001, Bozeman, MT 59715-3572 | 2011-12-12 |
| 1851569438 | Margaret B Marsh | Nurse Practitioner | 1805 Oak St Ste 3, Bozeman, MT 59715 | 2008-02-15 |
| 1114093077 | Kimberly Ellingson Kotur | Nurse Practitioner | South 7th Ave, Swingle Student Health Service, Bozeman, MT 59717-3260 | 2006-11-24 |
| Find all providers in BOZEMAN | ||||
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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.