VICKI LYNN WAGNER (NPI# 1255808002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255808002 |
| Entity Type | Individual |
| Full Name | VICKI LYNN WAGNER |
| Practice Address |
502 4th St Ne Auburn WA 98002-5020 |
| Practice Telephone | 2539314990 |
| Mailing Telephone | 2539314990 |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
RN00077448 | WA | Nursing Service Providers |
| Street Address |
502 4TH ST NE |
| City | AUBURN |
| State | WA |
| Zip Code | 98002-5020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154350924 | Auburn School District | Local Education Agency (LEA) | 502 4th St Ne, Auburn, WA 98002-5020 | 2006-07-02 |
| 1811595036 | Jina Xin | Speech-Language Pathologist | 502 4th St Ne, Auburn, WA 98002 | 2020-10-09 |
| 1770198236 | Brooke Fox | Occupational Therapist | 502 4th St Ne, Auburn, WA 98002-5020 | 2020-09-11 |
| 1871130583 | Justine Breanne Benner | Physical Therapist | 502 4th St Ne, Auburn, WA 98002-5020 | 2019-12-02 |
| 1881242733 | Rhonda Michelle Forte | Registered Nurse | 502 4th St Ne, Auburn, WA 98002-5020 | 2019-09-03 |
| 1992369029 | Shawna Louise Wallace | Licensed Practical Nurse | 502 4th St Ne, Auburn, WA 98002-5020 | 2019-04-24 |
| 1811458102 | Melanie Abad Rodrigo | Licensed Practical Nurse | 502 4th St Ne, Auburn, WA 98002-5020 | 2019-03-28 |
| 1093274953 | Rhonda L Veary | Licensed Practical Nurse | 502 4th St Ne, Auburn, WA 98002-5020 | 2019-03-19 |
| 1508325713 | Lucrecia Del Rosario Hascup | Licensed Practical Nurse | 502 4th St Ne, Auburn, WA 98002-5020 | 2019-03-18 |
| 1447718127 | Michaela Dawn Guest | Licensed Practical Nurse | 502 4th St Ne, Auburn, WA 98002-5020 | 2019-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336756451 | Natalia Marquez Avalos | Interpreter | 1001 37th St Se, Apt 2, Auburn, WA 98002 | 2020-09-24 |
| 1871065607 | Carrie Ann Sasser | Registered Nurse | 1005 37th Street Se, Auburn, WA 98002 | 2018-12-18 |
| 1730658881 | Nataliya Guga | Physical Therapy Assistant | 1323 17th St Se Apt A, Auburn, WA 98002 | 2018-11-19 |
| 1952876294 | Modeline Jules | Nurse Practitioner | 125 3rd St Ne Ste 403, Auburn, WA 98002 | 2018-10-12 |
| 1679055941 | Stephanie Storm Lariccia | Social Worker | 1000 Auburn Way S., Auburn, WA 98002 | 2018-09-04 |
| 1104330349 | North Auburn Health, LLC | Skilled Nursing Facility | 2830 I Street Ne, Auburn, WA 98002 | 2017-11-27 |
| 1265950554 | Allison Ortwein | Occupational Therapist | 2830 I St. Ne, Auburn, WA 98002 | 2017-09-06 |
| 1184171167 | Emily Faber | Counselor | 505 29th St, Auburn, WA 98002 | 2016-09-07 |
| 1255887907 | Elaine Priscilla Lucas | Counselor | 29th St Se Chartley House, 505, Auburn, WA 98002 | 2016-08-31 |
| 1871955823 | Melissa Mae Gustafson | Massage Therapist | 4220 A. St. Se, Suite 103, Auburn, WA 98002 | 2016-03-28 |
| Find all providers in zip 98002 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871065607 | Carrie Ann Sasser | Registered Nurse | 1005 37th Street Se, Auburn, WA 98002 | 2018-12-18 |
| 1508337080 | Kelly Benshoof | Registered Nurse | 2301 M St Se, Auburn, WA 98002-7627 | 2018-12-10 |
| 1114387818 | Frances Hansen | Registered Nurse | 66 Letchworth St, Auburn, NY 13021-5599 | 2016-02-24 |
| 1093313009 | Jamie Ann Sheppard Allen | Registered Nurse | 1015 24th St Ne, Auburn, WA 98002-2430 | 2020-10-12 |
| 1679180202 | Jennifer Anne Donohue | Registered Nurse | 16401 Se 318th St, Auburn, WA 98092-9285 | 2020-09-28 |
| 1871134866 | Laini A Goodlett | Registered Nurse | 16401 Se 318th St, Auburn, WA 98092-9285 | 2019-10-01 |
| 1881242733 | Rhonda Michelle Forte | Registered Nurse | 502 4th St Ne, Auburn, WA 98002-5020 | 2019-09-03 |
| 1790255347 | Janice Lynn Donaldson | Registered Nurse | 915 4th Street Ne, Auburn, WA 98002 | 2018-11-27 |
| 1851860720 | Heather Duke | Registered Nurse | 3502 Auburn Way S, Auburn, WA 98092-7221 | 2018-11-20 |
| 1891264941 | Kandice Valerie Llera | Registered Nurse | 502 4th St Ne, Auburn, WA 98002-5020 | 2018-11-19 |
| Find all providers in AUBURN | ||||
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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.