AMANDA KAE WAGNER (NPI# 1356659668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356659668 |
| Entity Type | Individual |
| Full Name | AMANDA KAE WAGNER |
| Credential | CNP |
| Practice Address |
320 W 10th Ave M200 Columbus OH 43210-1280 |
| Mailing Address |
700 Ackerman Rd Suite 260 Columbus OH 43202-1559 |
| Practice Telephone | 6142934128 |
| Practice Fax Number | 6142936420 |
| Mailing Telephone | 6149473700 |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2012-04-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WX0200X |
Registered Nurse Specialization: Oncology |
RN.311476 | OH | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
COA.11911-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3128636 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707072 | Amanda Lynn Wagner | In Home Supportive Care | 158 Fairhome Ave, Clyde, OH 43410-2006 | 2020-10-12 |
| 1205478294 | Amanda Wagner | Marriage & Family Therapist | 7021 W 153rd St Ste 5, Orland Park, IL 60462-5397 | 2019-10-11 |
| 1144683574 | Amanda Wagner | Counselor | 900 Darlington Ave, Mahwah, NJ 07430-2526 | 2016-04-02 |
| 1659748911 | Amanda E Wagner | Clinical Neuropsychologist | 2000 Alameda De Las Pulgas Ste 242, San Mateo, CA 94403-1271 | 2015-08-21 |
| 1295090504 | Amanda Wagner | Speech-Language Pathologist | 120 Se 5th Ave, Apt 223, Boca Raton, FL 33432-5072 | 2012-07-12 |
| 1154399152 | Amanda Griffin Wagner | Psychologist | 11 Charlie Morris Rd Bldg 2, Colbert, GA 30628-2445 | 2006-03-08 |
| 1396365797 | Amanda Wagner | Pharmacist | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-04-26 |
| 1164058020 | Amanda C Wagner | Nurse Anesthetist, Certified Registered | 5645 Main St, Flushing, NY 11355-5045 | 2020-03-22 |
| 1780214320 | Amanda Wagner | Case Manager/Care Coordinator | 1744 Payne Ave, Cleveland, OH 44114-2910 | 2020-01-23 |
| 1366089914 | Amanda Wagner | Case Manager/Care Coordinator | 120 S Barstow St, Eau Claire, WI 54701-3642 | 2019-12-03 |
| Street Address |
320 W 10TH AVE M200 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43210-1280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174517759 | Stephen F Moore | Pathology | 320 W 10th Ave, Columbus, OH 43210-1280 | 2005-09-09 |
| 1942747449 | Jennifer Carter | Physician Assistant | 320 W 10th Ave, 4th Floor Starling Loving Hall, Columbus, OH 43210-1280 | 2017-01-23 |
| 1720499924 | Lindsey Rice Geiger | Nurse Practitioner | 320 W 10th Ave, Columbus, OH 43210-1280 | 2014-05-11 |
| 1104266311 | Andrea E. Deford | Nurse Practitioner | 320 W 10th Ave, Columbus, OH 43210 | 2013-07-02 |
| 1710320528 | Amanda Hettinga | Nurse Practitioner | 320 W 10th Ave, Columbus, OH 43210-1280 | 2013-04-10 |
| 1578802617 | Elizabeth Yaa Ofori-attah | Nurse Practitioner | 320 W 10th Ave, James Cancer Center, Columbus, OH 43210-1280 | 2013-02-09 |
| 1417214974 | Adam Scott Kittai | Internal Medicine | 320 W 10th Ave, Columbus, OH 43210-1280 | 2012-04-20 |
| 1629334149 | Polina Shindiapina | Internal Medicine | 320 W 10th Ave, A350c Starling-loving Hall, Columbus, OH 43210-1280 | 2012-04-10 |
| 1073893756 | Osu Medical Center | Special Hospital | 320 W 10th Ave, Columbus, OH 43210-1280 | 2011-08-25 |
| 1689962334 | Ann Onofri | Nurse Practitioner | 320 W 10th Ave, M 200 Starling Loving Hall, Columbus, OH 43210-1280 | 2011-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861014672 | Nadine El Ayouty | Dentist | 2082 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2020-05-14 |
| 1982233953 | Zacharia A Grami | Emergency Medicine | 774 Prior Hall, 376 West 10th Avenue, Columbus, OH 43210 | 2020-04-02 |
| 1578191219 | Kaitlyn Greiner | Student in an Organized Health Care Education/Training Program | The Ohio State University Wexner Center, 395 W 12th Avenue, Third Floor, Columbus, OH 43210 | 2020-03-30 |
| 1265069280 | Meryl P Sudhakar | Student in an Organized Health Care Education/Training Program | 774 Prior Hall 376 W 10th Ave, Columbus, OH 43210 | 2020-03-27 |
| 1124653514 | William A Jansak | Nurse Practitioner | The Richard M. Ross Heart Hospital, 4th Floor, 452 West 10th Ave, Columbus, OH 43210 | 2020-03-06 |
| 1114570058 | Suzanne Bartle Haring | Marriage & Family Therapist | 110 Bevis Hall, 1080 Carmack Rd, Columbus, OH 43210 | 2019-07-19 |
| 1487207387 | Mehak Kaul | Dentist | 2196 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2019-07-19 |
| 1043873920 | Andrew Kendle | Student in an Organized Health Care Education/Training Program | 774 Prior Hall, 374 W. 10th Ave, Columbus, OH 43210 | 2019-04-17 |
| 1093277840 | Cory Pettit | Student in an Organized Health Care Education/Training Program | The Ohio State Universty Wexner Medical Center, 395 W 12th Ave, 3rd Floor, Columbus, OH 43210 | 2019-04-02 |
| 1447711866 | Drew Michael S Donnell | Student in an Organized Health Care Education/Training Program | Osuwmc Dept of Surgery, 395 W. 12th Avenue, Room 662, Columbus, OH 43210 | 2019-03-28 |
| Find all providers in zip 43210 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891394235 | Lisa Ann Popovich | Nurse Practitioner | 3703 Canon Ridge Pl, Columbus, OH 43230-4010 | 2020-10-17 |
| 1548812159 | Holly Penix | Nurse Practitioner | 223 Bluewing Ct, Columbus, OH 43235-1490 | 2019-07-13 |
| 1558840496 | Sheila Parker Strickland | Nurse Practitioner | 7413 Whitesville Rd Ste 700, Columbus, GA 31904-3230 | 2018-08-11 |
| 1669992822 | Susan Lee Mcfall | Nurse Practitioner | 1258 Grandview Ave Ste A, Columbus, OH 43212-3469 | 2017-06-20 |
| 1750833232 | Carrie Leigh Whitehead | Nurse Practitioner | 6228 Bradley Park Dr. Suite A, Columbus, GA 31904 | 2016-10-31 |
| 1285095802 | Laura Aumiller | Nurse Practitioner | 842 Grandview Ave, Columbus, OH 43215-1124 | 2016-03-09 |
| 1457741498 | Roshann Palmer | Nurse Practitioner | 5151 Reed Rd Ste 205, Columbus, OH 43220-2553 | 2015-01-29 |
| 1548650617 | Katherine Marie Wallace | Nurse Practitioner | 118 Enterprise Ct Ste B, Columbus, GA 31904-9228 | 2015-01-28 |
| 1144637299 | Jody Anne Howell | Nurse Practitioner | 1391 W 5th Ave, Suite 260, Columbus, OH 43212-2902 | 2014-07-21 |
| 1538589536 | Courtney Dubois Shihabuddin | Nurse Practitioner | 750 E Long St Ste 3000, Columbus, OH 43203-1874 | 2014-04-17 |
| Find all providers in COLUMBUS | ||||
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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.