KRISTIN NICOLE WAGNER (NPI# 1518440890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518440890 |
| Entity Type | Individual |
| Full Name | KRISTIN NICOLE WAGNER |
| Credential | PCMSW, PLMHP |
| Practice Address |
2021 Saint Marys Ave Omaha NE 68102-2415 |
| Practice Telephone | 4028981697 |
| Mailing Telephone | 4028981697 |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041S0200X |
Social Worker Specialization: School |
7122 | NE | Behavioral Health & Social Service Providers |
| Y | 1041S0200X |
Social Worker Specialization: School |
11054 | NE | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3506 Franklin St, Omaha, NE 681114151 | 5312991440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952743924 | Kristin Wagner | Physician Assistant | 2200 W. Eau Gallie Blvd., Suite 202c, Melbourne, FL 32935-3166 | 2013-07-19 |
| 1205105624 | Kristin Diane Wagner | Nurse Practitioner | 915 W Maple, Columbus, KS 66725 | 2011-12-14 |
| 1457654808 | Kristin M Wagner | Counselor | 1461 Hickory Ct, Erie, CO 80516-7986 | 2010-12-07 |
| 1558903468 | Kristin Wagner | Social Worker | 10630 Little Patuxent Pkwy Ste 209, Columbia, MD 21044-6278 | 2019-10-11 |
| 1205316676 | Kristin Wagner | Speech-Language Pathologist | 2499 Zerbe Rd, Narvon, PA 17555-9328 | 2018-08-15 |
| 1528480274 | Kristin Behrens Wagner | Counselor | 940 E Haverford Rd, Suite 102, Bryn Mawr, PA 19010-3845 | 2014-01-15 |
| 1053674945 | Kristin L Wagner | Nurse Practitioner | 1729 Burrstone Rd, New Hartford, NY 13413-1001 | 2012-06-17 |
| 1992096812 | Kristin St. Laurent Wagner | Counselor | 225 N 23rd St, Billings, MT 59101-2223 | 2011-04-26 |
| 1063699056 | Kristin Michelle Wagner | Social Worker | 2540 Charleston St, Oakland, CA 94602-2508 | 2008-01-22 |
| 1992879092 | Kristin Jo Wagner | Pharmacist | 3919 N Maple St, Spokane, WA 99205-1349 | 2006-11-20 |
| Street Address |
2021 SAINT MARYS AVE |
| City | OMAHA |
| State | NE |
| Zip Code | 68102-2415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164735759 | Oneworld Community Health Centers, Inc. | Clinic/Center | 2021 Saint Marys Ave, Omaha, NE 68102-2415 | 2010-07-23 |
| 1972078418 | Tammie Jo Mills | Registered Nurse | 2021 Saint Marys Ave, Omaha, NE 68102-2415 | 2018-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518580042 | Niranzena Panneer Selvam | Dentist | 2109 Cuming Street, Omaha, NE 68102 | 2020-05-19 |
| 1912312323 | Stephani Jo Dale | Dentist | 2901 Cuming Street, Omaha, NE 68102 | 2014-06-24 |
| 1578736864 | Nebraska Urban Indian Health Coalition | Community/Behavioral Health | 2240 Landon Court, Omaha, NE 68102 | 2008-04-08 |
| 1609939826 | Alana Louayne Decker | Registered Nurse | 1490 No 16th St, Omaha, NE 68102 | 2006-12-18 |
| 1831203645 | Nicholas Joseph Battafarano | Psychiatry & Neurology | 1490 N 16th St, Omaha, NE 68102 | 2006-08-18 |
| 1831198902 | Lori Ann Buckley | Occupational Therapist | 1219 Leavenworth St, Omaha, NE 68102 | 2005-07-20 |
| 1760019129 | Catherine Nicole Cloetta | Student in an Organized Health Care Education/Training Program | Creighton University School of Dentistry, 2109 Cuming St., Omaha, NE 68102 | 2020-03-25 |
| 1841793189 | Molly Ann Trevathan | Specialist/Technologist | 701 Florence Blvd, Omaha, NE 68102 | 2018-03-13 |
| 1265942106 | Ashlyn Madden Eisenbrown | Acupuncturist | 1219 Leavenworth St, Omaha, NE 68102 | 2017-10-05 |
| 1417342676 | Natural Therapy LLC | Home Health | 1219 Leavenworth St, Omaha, NE 68102 | 2015-04-03 |
| Find all providers in zip 68102 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164997011 | Erica Susan Bush | Social Worker | 4669 Poppleton Ave, Omaha, NE 68106-2045 | 2018-10-08 |
| 1750865101 | Leanna Christine Johnston | Social Worker | 2115 Burdette St, Omaha, NE 68110-2335 | 2018-09-21 |
| 1003390915 | Cari Kenney | Social Worker | 5618 N 14th Ave, Omaha, NE 68110-1134 | 2018-09-18 |
| 1497238489 | Danielle Haas | Social Worker | 5625 N 28th Ave, Omaha, NE 68111-1765 | 2018-09-14 |
| 1124501341 | Monique Visocky | Social Worker | 4110 N 36th St, Omaha, NE 68111 | 2018-09-13 |
| 1679056956 | Rachel Evans | Social Worker | 2906 N 30th St, Omaha, NE 68111-3101 | 2018-09-12 |
| 1508349887 | Elizabeth Sechrest | Social Worker | 5101 S 17th St, Omaha, NE 68107-3047 | 2018-09-12 |
| 1972029338 | Jill Marie Anderson | Social Worker | 5606 South 147th Street, Omaha, NE 68137 | 2017-08-17 |
| 1508069436 | Rushton Gunter | Social Worker | 2504 Meredith Ave, Omaha, NE 68111-2327 | 2007-06-07 |
| 1255932000 | Madison Davis | Social Worker | 5050 S 51st St, Omaha, NE 68117-1955 | 2020-11-06 |
| Find all providers in OMAHA | ||||
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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.