MICHELLE WAGNER (NPI# 1396123485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396123485 |
| Entity Type | Individual |
| Full Name | MICHELLE WAGNER |
| Credential | RD,LRD |
| Practice Address |
900 E Broadway Ave Bismarck ND 58501-4520 |
| Mailing Address |
Po Box 5510 Bismarck ND 58506-5510 |
| Practice Telephone | 7015307000 |
| Mailing Telephone | 7015307000 |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 773 | ND | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578032066 | Michelle Wagner | Speech-Language Pathologist | 17732 Highland Rd Ste G254, Baton Rouge, LA 70810-3846 | 2018-11-14 |
| 1528265956 | Michelle Dean Wagner | Counselor | 833 Broadway St, Suite 103, Cape Girardeau, MO 63701-5515 | 2007-06-29 |
| 1790265262 | Michelle Wagner | Registered Nurse | 4949 Liberty Ln Ste 210, Allentown, PA 18106-9063 | 2018-08-15 |
| 1326539180 | Michelle Diane Wagner | Student in an Organized Health Care Education/Training Program | 1250 E Marshall St # 980264, Richmond, VA 23298-5051 | 2018-05-28 |
| 1194276113 | Michelle Wagner | Registered Nurse | 401 Cypress St, Manchester, NH 03103 | 2016-10-14 |
| 1689006181 | Michelle Lynn Wagner | Nurse Practitioner | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2013-08-07 |
| 1407101843 | Michelle Wagner | Behavioral Analyst | 9755 Lincoln Village Dr, Sacramento, CA 95827-3334 | 2012-07-23 |
| 1982984811 | Michelle Dillon Wagner | Speech-Language Pathologist | 17045 El Camino Real, Suite 106, Houston, TX 77058-2649 | 2011-08-23 |
| 1346566577 | Michelle Jayne Wagner | Family Medicine | 248 Mchenry St, Burlington, WI 53105-1828 | 2010-04-13 |
| 1831340850 | Michelle Wagner Iv | Physical Therapist | 21800 Chardon Rd, Euclid, OH 44117-2125 | 2008-10-08 |
| Street Address |
900 E BROADWAY AVE |
| City | BISMARCK |
| State | ND |
| Zip Code | 58501-4520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720087000 | Kym L Chandler | Neurological Surgery | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2005-07-19 |
| 1538769633 | Brenton Michael Green | Physician Assistant | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2020-10-28 |
| 1679186852 | Carly Marie Meyer | Pharmacist | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2020-08-26 |
| 1164030169 | Heather Brooke Flaa | Physician Assistant | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2020-07-16 |
| 1699393454 | Alexis Schulz | Nurse Practitioner | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2020-07-08 |
| 1457971012 | Byul You | Pharmacist | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2020-04-23 |
| 1962021618 | Amanda Mcglasson | Pharmacist | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2020-04-13 |
| 1336772839 | Deanne Hice | Nurse Anesthetist, Certified Registered | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2020-02-13 |
| 1538707898 | Jenna Etzold | Psychologist | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2019-12-18 |
| 1548811169 | Sarah Skeie | Nurse Practitioner | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2019-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500911 | Sonja Lee Bosch | Counselor | 101 E. Broadway Ave Heartview Foundation, Bismarck, ND 58501 | 2020-08-28 |
| 1649740630 | Stephanie Marie Simburger | Social Worker | 3111 East Broadway Ave, Bismarck, ND 58501 | 2018-12-03 |
| 1679042519 | Prairie Rose Family Dentists | Dentist | 1110 College Dr., Suite 110, Bismark, ND 58501 | 2018-11-21 |
| 1386111276 | Arielle Joy Flynn | Genetic Counselor, MS | 414 N Seventh Street, Bismarck, ND 58501 | 2018-10-29 |
| 1164901799 | Karalee Joy Harper | Counselor | 101 E. Broadway Ave, Bismarck, ND 58501 | 2018-08-14 |
| 1518457811 | Myckenzie Saari | Behavior Technician | 1929 N Washington St., Bismarck, ND 58501 | 2018-05-14 |
| 1831687532 | Jacquelyn Mahoney | Behavioral Analyst | 604 North Ave, Bismarck, ND 58501 | 2018-04-27 |
| 1710403811 | Kayla Marie Watson | Behavior Technician | 1500 E. Capitol Ave, Suite 200, Bismarck, ND 58501 | 2017-08-21 |
| 1306368220 | Scott Vandyke | Occupational Therapist | 300 N. 7th St, Bismarck, ND 58501 | 2017-07-12 |
| 1144670019 | Bismarck Psychological Associates, Pllc | Psychologist | 107 W. Main Ave., Suite 225, Bismarck, ND 58501 | 2016-06-21 |
| Find all providers in zip 58501 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679110589 | John E Finn | Dietitian, Registered | 8500 106th St Se, Bismarck, ND 58504-4025 | 2019-12-10 |
| 1730737420 | Brianna N Wanner | Dietitian, Registered | 1953 Houston Dr, Bismarck, ND 58504-7208 | 2019-08-27 |
| 1770020455 | Tera Miller | Dietitian, Registered | 509 Cottonwood Loop, Bismarck, ND 58504-7411 | 2017-01-19 |
| 1932456589 | Rose M Johnson | Dietitian, Registered | 2019 Koch Dr, Bismarck, ND 58503-1240 | 2012-08-13 |
| 1922271501 | Cathy Ann Deics | Dietitian, Registered | 8300 White Oak Loop, Bismarck, ND 58501-9325 | 2008-04-04 |
| 1659469385 | Kristen M Blees | Dietitian, Registered | 1800 E Interstate Ave Ste C, Bismarck, ND 58503-1566 | 2006-10-10 |
| 1346856002 | Stephanie L Jensen | Dietitian, Registered | 401 N 9th St, Bismarck, ND 58501-4506 | 2020-09-18 |
| 1194343293 | Sierra Kolle | Dietitian, Registered | 300 N 7th St, Bismarck, ND 58501-4439 | 2020-07-06 |
| 1437783701 | Danielle Rusch | Dietitian, Registered | 300 N 7th St, Bismarck, ND 58501-4439 | 2020-02-26 |
| 1427524610 | Rachel Marie Iverson | Dietitian, Registered | 300 N 7th St, Bismarck, ND 58501-4439 | 2018-10-16 |
| Find all providers in BISMARCK | ||||
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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.