SHANNON DEE WAGNER (NPI# 1265073324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265073324 |
| Entity Type | Individual |
| Full Name | SHANNON DEE WAGNER |
| Practice Address |
185 N 4th St Saint Helens OR 97051-1535 |
| Mailing Address |
Po Box 1234 Saint Helens OR 97051-8234 |
| Practice Telephone | 5033975211 |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2019-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538780077 | Shannon Marie Wagner | Counselor | 2310 E Atlantic Blvd Bldg 2, Pompano Beach, FL 33062-5251 | 2020-05-06 |
| 1225686538 | Shannon Lee Wagner | Behavior Technician | 203 Union St, Manchester, CT 06042-1938 | 2019-08-29 |
| 1255956512 | Shannon Michelle Wagner | Registered Nurse | 551 Broadway, Eagle, CO 81631 | 2020-06-12 |
| 1427512854 | Shannon Wagner | Behavior Technician | 613 Stephenson Ave Ste 206, Savannah, GA 31405-5841 | 2019-01-30 |
| 1437624079 | Shannon Wagner | Behavior Technician | 901 Caledonia St, La Crosse, WI 54603-2616 | 2018-10-10 |
| 1871832691 | Shannon Wagner | Speech-Language Pathologist | 125 Ryan Industrial Ct, San Ramon, CA 94583-1772 | 2013-02-14 |
| 1467590737 | Shannon Wagner | Community/Behavioral Health | 2086 Commerce Ave, Concord, CA 94520-4902 | 2007-02-01 |
| Street Address |
185 N 4TH ST |
| City | SAINT HELENS |
| State | OR |
| Zip Code | 97051-1535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801913348 | Rebecca Ann Rourke | Counselor | 185 N 4th St, Saint Helens, OR 97051-1535 | 2007-03-22 |
| 1699309245 | Molly Phillips Milne | Registered Nurse | 185 N 4th St, Saint Helens, OR 97051-1535 | 2020-02-22 |
| 1336787449 | Geoffrey Alan Mabe | Registered Nurse | 185 N 4th St, Saint Helens, OR 97051-1535 | 2019-12-19 |
| 1306402920 | Lindsay Monteleone | Registered Nurse | 185 N 4th St, Saint Helens, OR 97051-1535 | 2019-05-20 |
| 1568929495 | Laura Reid Birchard | Counselor | 185 N 4th St, Saint Helens, OR 97051-1535 | 2019-02-27 |
| 1508337635 | Yvonne Michelle Scholl | Case Manager/Care Coordinator | 185 N 4th St, Saint Helens, OR 97051-1535 | 2018-12-16 |
| 1679044705 | Kira Ann Eagle | Case Manager/Care Coordinator | 185 N 4th St, Saint Helens, OR 97051-1535 | 2018-12-16 |
| 1659840288 | Meredith Johanna Horel | Registered Nurse | 185 N 4th St, Saint Helens, OR 97051-1535 | 2018-11-13 |
| 1548737307 | Marijke Cadenelli | Registered Nurse | 185 N 4th St, Saint Helens, OR 97051-1535 | 2018-10-30 |
| 1316428519 | Melissa Lyn Grover | Registered Nurse | 185 N 4th St, Saint Helens, OR 97051-1535 | 2018-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497387468 | Jason Lee Morris | Physical Therapist | 21 Cowlitz Street, St. Helens, OR 97051 | 2020-02-07 |
| 1336644871 | Genoa Healthcare, LLC | Pharmacy | 58646 Mcnulty Way Ste 116, Saint Helens, OR 97051 | 2018-03-27 |
| 1356713952 | Maykel Hashemieh Shirazi | Pharmacist | 2292 Gable Rd, Saint Helens, OR 97051 | 2015-10-22 |
| 1730565995 | Jeremy Scott Jones | Counselor | 105 S Thierd, Saint Helens, OR 97051 | 2015-08-10 |
| 1548652621 | Ashley Marie Prietto | Counselor | 58464 Mcnulty Way, Saint Helens, OR 97051 | 2015-02-25 |
| 1376898619 | Amy Beth Terry | Counselor | 58646 Mcnutty Way, St. Helens, OR 97051 | 2012-07-23 |
| 1639430762 | Scott David Swanson | Pharmacist | 795 Columbia River Hwy, St. Helens, OR 97051 | 2012-06-05 |
| 1871850586 | Christina Nadean Lane | Massage Therapist | 52515 Columbia River Highway, Scappoose, OR 97051 | 2012-04-19 |
| 1235432550 | Alysha Barbour | Acupuncturist | 1561 Columbia Blvd., Saint Helens, OR 97051 | 2010-12-08 |
| 1649572207 | Pure Serenity Massage LLC | Massage Therapist | 440 Columbia Blvd., St. Helens, OR 97051 | 2010-12-02 |
| Find all providers in zip 97051 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205333184 | Juliann Renee Davis | Case Manager/Care Coordinator | 125 N 17th St, Saint Helens, OR 97051-1708 | 2018-04-09 |
| 1841480068 | Susan Margaret Asbell | Case Manager/Care Coordinator | 124 Forest Park Dr, Saint Helens, OR 97051-1040 | 2007-07-25 |
| 1083252084 | Heide Rebekah Tift | Case Manager/Care Coordinator | 105 S 3rd St, Saint Helens, OR 97051-2009 | 2019-12-20 |
| 1679111298 | Kendell Tyree Nelson | Case Manager/Care Coordinator | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2019-12-13 |
| 1841833944 | Tamila M Chamorro Jacobs | Case Manager/Care Coordinator | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2019-10-21 |
| 1003457003 | Maricar Paulo Arceo | Case Manager/Care Coordinator | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2019-10-01 |
| 1811548175 | Rebecca A Izbicki | Case Manager/Care Coordinator | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2019-09-26 |
| 1124676960 | Linda Natalie Santos-martinez | Case Manager/Care Coordinator | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2019-08-26 |
| 1447807425 | Lisa Ann Meere | Case Manager/Care Coordinator | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2019-08-23 |
| 1730734740 | Terra L Weaver | Case Manager/Care Coordinator | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2019-08-06 |
| Find all providers in SAINT HELENS | ||||
| City | SAINT HELENS |
| Zip Code | 97051 |
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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.