TRACEY WAGNER (NPI# 1386031615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386031615 |
| Entity Type | Individual |
| Full Name | TRACEY WAGNER |
| Credential | PA-C |
| Practice Address |
325 9th Ave Harborview Medical Center Seattle WA 98104-2420 |
| Mailing Address |
325 9th Ave Seattle WA 98104-2420 |
| Practice Telephone | 7147852063 |
| Mailing Telephone | 2065205000 |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2019-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
60516088 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386943926 | Tracey Lynn Wagner | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2011-03-22 |
| 1376766477 | Tracey Wagner | Physical Therapist | 5601 Desoto Ave, Woodland Hillsq, CA 91365 | 2007-04-10 |
| Street Address |
325 9TH AVE HARBORVIEW MEDICAL CENTER |
| City | SEATTLE |
| State | WA |
| Zip Code | 98104-2420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851395743 | Judith Kay Glann | Nurse Practitioner | 325 9th Ave, Seattle, WA 98104-2420 | 2005-06-08 |
| 1720688427 | Angelo John Jamora | Advanced Practice Midwife | 325 9th Ave, Seattle, WA 98104-2420 | 2020-10-30 |
| 1174123939 | Kaitlin C Fitzgerald | Physician Assistant | 325 9th Ave, Seattle, WA 98104-2420 | 2020-10-29 |
| 1184222739 | Kristi Griffing | Registered Nurse | 325 9th Ave, Seattle, WA 98104-2499 | 2020-10-15 |
| 1558968925 | Maeve Muldowney | Anesthesiology | 325 9th Ave, Seattle, WA 98104-2420 | 2020-10-07 |
| 1073128203 | Allison Engstrom | Social Worker | 325 9th Ave, Seattle, WA 98104-2499 | 2020-09-14 |
| 1376158501 | Vallie Jacobson | Registered Nurse | 325 9th Ave, Seattle, WA 98104-2420 | 2020-09-14 |
| 1801401187 | Leigh Anne Kalaman | Registered Nurse | 325 9th Ave, Seattle, WA 98104-2499 | 2020-09-13 |
| 1114532496 | Shayna Erickson | Pharmacist | 325 9th Ave, Seattle, WA 98104-2420 | 2020-09-13 |
| 1144834698 | Tonya L Webb | Registered Nurse | 325 9th Ave, Seattle, WA 98104-2420 | 2020-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394312 | Richard Charles Harruff | Pathology | King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 | 2020-04-13 |
| 1558999474 | Nathan Richard Benner | Student in an Organized Health Care Education/Training Program | Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 | 2020-03-27 |
| 1063058493 | Brook, LLC. | Health Educator | 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 | 2019-11-20 |
| 1609418813 | Stephanie Amanda Ann Mason | Student in an Organized Health Care Education/Training Program | 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 | 2019-10-09 |
| 1013480250 | Robert Kenneth Lozier | Pedorthist | Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 | 2019-01-10 |
| 1548739576 | Lee Hanses | Physical Therapist | 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 | 2018-11-20 |
| 1821579095 | Karissa Lin Lee | Pharmacist | 401 Broadway #2075, Seattle, WA 98104 | 2018-08-27 |
| 1477042091 | Maham Jehangir | Student in an Organized Health Care Education/Training Program | 325 9th Ave Department of Radiology, Seattle, WA 98104 | 2018-05-09 |
| 1740786581 | Philip Daniel Tolley | Student in an Organized Health Care Education/Training Program | 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 | 2018-04-02 |
| 1528564242 | Vanessa Dawn Leonhard | Student in an Organized Health Care Education/Training Program | 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 | 2018-04-02 |
| Find all providers in zip 98104 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851875561 | Sarah Gene Soloff | Physician Assistant | 9730 3rd Ave Ne Ste 201, Seattle, WA 98115-2023 | 2018-09-18 |
| 1861987992 | Lillian Baldwin Bourret | Physician Assistant | 6317 Linden Ave N, Seattle, WA 98103-5658 | 2018-07-01 |
| 1043535024 | Pamela Baird | Physician Assistant | 2016 16th Ave East, Seattle, WA 98112-5260 | 2010-04-01 |
| 1548402209 | Loverne Greg De Venecia Jimenez | Physician Assistant | James Tower 550 17th Ave Suite 500, Swedish Neuroscience Institute, Seattle, WA 98122 | 2009-03-27 |
| 1679506737 | Gerald M Strode | Physician Assistant | 521 Wall St, Seattle, WA 98121-1524 | 2006-07-09 |
| 1023049905 | Kari A. Schmitz | Physician Assistant | 3725 Sw Prescott Pl, Seattle, WA 98126-2042 | 2006-07-06 |
| 1528007069 | Claudia M Kalotay | Physician Assistant | 901 Boren Ave #800, Seattle, WA 98104 | 2006-06-06 |
| 1386681815 | Paul Richard Halkett | Physician Assistant | Pbs Building, 401 Broadway, Seattle, WA 98122 | 2006-06-01 |
| 1851361646 | Irina E Penev | Physician Assistant | 550 17th Ave Fl 6, Seattle, WA 98122-5788 | 2006-01-24 |
| 1174123939 | Kaitlin C Fitzgerald | Physician Assistant | 325 9th Ave, Seattle, WA 98104-2420 | 2020-10-29 |
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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.