DR. JODY MICHELLE WAGNER (NPI# 1487656799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487656799 |
| Entity Type | Individual |
| Full Name | DR. JODY MICHELLE WAGNER |
| Credential | D.C. |
| Practice Address |
N110 Brux Rd Appleton WI 54915-9439 |
| Practice Telephone | 9209680464 |
| Mailing Telephone | 9209680464 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2020-11-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4062-012 | WI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38957300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699246421 | Jody Lynn Wagner | Speech-Language Pathologist | 204 Market Street, Denton, MD 21629 | 2018-12-05 |
| 1669971339 | Jody Wagner | Registered Nurse | 6400 Uptown Blvd Ne Ste 385, Albuquerque, NM 87110-4202 | 2018-02-07 |
| 1669860409 | Jody Wagner | Dietitian, Registered | 130 Division St, Derby, CT 06418-1326 | 2015-01-01 |
| 1265573380 | Jody Wagner | Occupational Therapist | 50 W Schaumburg Rd, Schaumburg, IL 60194 | 2007-02-09 |
| Street Address |
N110 BRUX RD |
| City | APPLETON |
| State | WI |
| Zip Code | 54915-9439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134588288 | Wagner Family Chiropractic Sc | Massage Therapist | N110 Brux Rd, Appleton, WI 54915-9439 | 2016-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1912426958 | Shanna L. Larsen | Registered Nurse | 1101 E. South River St., Appleton, WI 54915 | 2017-09-11 |
| 1477082816 | Amy Fazel | Driver | 226 E Calumet St, Appleton, WI 54915 | 2017-06-08 |
| 1871940213 | B.a.israel LLC | Community Based Residential Treatment Facility, Mental Illness | N9520 Silver Court, Appleton, WI 54915 | 2016-05-16 |
| 1982933479 | Stephanie I. Braski | Counselor | 1531 S. Oneida St, Appleton, WI 54915 | 2009-12-14 |
| 1386808319 | Shawn S Williamson | Emergency Medicine | 1506 South Oneida Street, Appleton, WI 54915 | 2008-07-18 |
| 1700040870 | Heidi Jo Van Toll | Occupational Therapist | 1335 S Oneida Street, Appleton, WI 54915 | 2008-07-17 |
| 1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
| 1265699748 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Fl 4, Appleton, WI 54915 | 2008-05-21 |
| 1073770558 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Ste 580, Appleton, WI 54915 | 2008-05-21 |
| Find all providers in zip 54915 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386297760 | Chiropractic Health of Appleton, LLC | Chiropractor | 3020 E College Ave Ste H, Appleton, WI 54915-3253 | 2019-07-24 |
| 1407232416 | Charity Millard Dc LLC | Chiropractor | 1230 W College Ave Ste C, Appleton, WI 54914-5287 | 2015-08-03 |
| 1679962161 | Stephanie Lynn Vandewettering | Chiropractor | 1620 S Lawe St Ste 2, Appleton, WI 54915-2420 | 2015-01-21 |
| 1356759369 | Darren Collin Strong | Chiropractor | 715 W Parkway Blvd, Suite C, Appleton, WI 54914-2645 | 2014-07-23 |
| 1841559028 | Well Adjusted Wellness Center LLC | Chiropractor | 612 E. Longview Dr, Suite B, Appleton, WI 54911 | 2012-05-09 |
| 1437429149 | Alex Tapplin | Chiropractor | 1901 E Capitol Dr Ste A, Appleton, WI 54911-8488 | 2012-01-11 |
| 1295004216 | Kalista A Sawyer | Chiropractor | 652 W Ridgeview Dr, Appleton, WI 54911-1254 | 2011-12-20 |
| 1336420751 | The Chiropractic Advantage LLC | Chiropractor | 645 W Ridgeview Dr, Appleton, WI 54911-1254 | 2011-08-30 |
| 1750662219 | Brent Buss | Chiropractor | 658 W Ridgeview Dr, Appleton, WI 54911-1254 | 2011-08-29 |
| 1962790410 | Abbott Family Chiropractic, S.c. | Chiropractor | 2561 E Calumet St, Appleton, WI 54915-4748 | 2011-07-19 |
| Find all providers in APPLETON | ||||
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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.