JESSICA E WAGNER (NPI# 1629608104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629608104 |
| Entity Type | Individual |
| Full Name | JESSICA E WAGNER |
| Practice Address |
4633 Aicholtz Rd Cincinnati OH 45244-1447 |
| Mailing Address |
4629 Aicholtz Rd Cincinnati OH 45244-1551 |
| Practice Telephone | 5137521555 |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130629 | Jessica Noel Wagner | Nurse Practitioner | 12828 S 3600 W Ste 101, Riverton, UT 84065-6853 | 2020-09-29 |
| 1649837246 | Jessica Wagner | Physician Assistant | 1296 Jeffco Blvd, Arnold, MO 63010-2138 | 2019-05-20 |
| 1134604648 | Jessica Wagner | Registered Nurse | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2018-10-01 |
| 1265982474 | Jessica Wagner | Counselor | 224 Alexander St, Rochester, NY 14607-4000 | 2016-10-12 |
| 1013365246 | Jessica Lynn Wagner | Audiologist | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2016-05-27 |
| 1245606441 | Jessica Danielle Wagner | Nurse Practitioner | 7334 S Lindbergh Blvd, Saint Louis, MO 63125-4522 | 2015-08-11 |
| 1891187951 | Jessica Wagner | Physician Assistant | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2015-02-26 |
| 1316347198 | Jessica Wagner | Social Worker | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2014-08-28 |
| 1558701839 | Jessica Leigh Wagner | Behavioral Analyst | 901 N Monroe St, Suite 200, Spokane, WA 99201-2104 | 2013-07-01 |
| 1518298058 | Jessica Wagner | Physical Therapist | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2010-01-22 |
| Street Address |
4633 AICHOLTZ RD |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45244-1447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093933764 | Shelly Lynn Baxter | Counselor | 4633 Aicholtz Rd, Cincinnati, OH 45244 | 2007-04-20 |
| 1962003475 | Hillary Crippen | Case Manager/Care Coordinator | 4633 Aicholtz Rd, Cincinnati, OH 45244-1447 | 2020-11-03 |
| 1922607191 | Mckenna Louise Benjamin | Case Manager/Care Coordinator | 4633 Aicholtz Rd, Cincinnati, OH 45244-1447 | 2020-10-20 |
| 1578170007 | Morgan Leigh Johnson | Case Manager/Care Coordinator | 4633 Aicholtz Rd, Cincinnati, OH 45244-1447 | 2020-09-29 |
| 1043827579 | Catherine Taylor Limbach | Social Worker | 4633 Aicholtz Rd, Cincinnati, OH 45244-1447 | 2020-09-29 |
| 1801401906 | Ngoc Thanh Chu Nguyen | Social Worker | 4633 Aicholtz Rd, Cincinnati, OH 45244-1447 | 2020-09-15 |
| 1568077667 | Carson Elizabeth Taylor | Social Worker | 4633 Aicholtz Rd, Cincinnati, OH 45244-1447 | 2020-09-15 |
| 1316559727 | Holly Mae Hacker | Case Manager/Care Coordinator | 4633 Aicholtz Rd, Cincinnati, OH 45244-1447 | 2020-08-18 |
| 1033721444 | Hannah Nicole Kipp | Social Worker | 4633 Aicholtz Rd, Cincinnati, OH 45244-1447 | 2020-08-18 |
| 1790397107 | Sela Brazier | Social Worker | 4633 Aicholtz Rd, Cincinnati, OH 45244-1447 | 2020-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720586035 | Angela Daniel | Student in an Organized Health Care Education/Training Program | 4633 Aicholtz Rd Lowr Level, Cincinnati, OH 45244 | 2018-02-01 |
| 1598277154 | Jennifer Elizabeth Johnson | Counselor | 551 Cincinnati-batavia-pike, Cincinnati, OH 45244 | 2017-11-03 |
| 1811421480 | Traci Bollman | Speech-Language Pathologist | 1145 Westchester Way, Cincinnati, OH 45244 | 2017-04-20 |
| 1114301496 | Elizabeth Welch | Marriage & Family Therapist | 4629 Aicholtz Rd, Cincinnati, OH 45244 | 2015-07-16 |
| 1821439191 | Rachel Ann Forster | Social Worker | 4629 Aicholtz Rd Ste 2, Cincinnati, OH 45244 | 2013-07-15 |
| 1033485883 | Anne Marie Wise | Social Worker | 4629 Aicholtz Road, Cincinnati, OH 45244 | 2012-03-27 |
| 1366675118 | Maorong Jiang | Acupuncturist | 7650 Piney Meadow Ln., Cincinnati, OH 45244 | 2009-08-27 |
| 1962673715 | Ck of Cincinnati Inc | Home Health | 4495 Mt.carmel-tobasco Rd, Cincinnati, OH 45244 | 2008-03-20 |
| 1649469982 | Laura Anne Nabors | Psychologist | 4450 Carver Woods Drive, Blue Ash Psychology Center, Cincinnati, OH 45244 | 2007-10-23 |
| 1295940781 | Marilyn H. Robinson | Social Worker | 555 Cincinnati-batavia Pike, Cincinnati, OH 45244 | 2007-05-10 |
| Find all providers in zip 45244 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225471238 | Megan Elizabeth Narad | Psychologist | 3333 Burnet Ave Ml 3015, Cincinnati, OH 45229 | 2013-04-09 |
| 1548447030 | Anne M. Wallace | Psychologist | 3327 Orion Ave, Cincinnati, OH 45213-1707 | 2008-01-28 |
| 1649469982 | Laura Anne Nabors | Psychologist | 4450 Carver Woods Drive, Blue Ash Psychology Center, Cincinnati, OH 45244 | 2007-10-23 |
| 1679780746 | Carrie Ann Mason-sears | Psychologist | 9200 Montgomery Rd Ste 25b, Cincinnati, OH 45242-7794 | 2007-05-17 |
| 1508939620 | Jacqueline Louise Kowalski | Psychologist | 712 Purcell Avenue, Cincinnati, OH 45205-2344 | 2006-11-16 |
| 1255434767 | Terry Rockne Schwartz | Psychologist | 8180 Corporate Park Dr Ste 104, Cincinnati, OH 45242-3309 | 2006-09-07 |
| 1518585538 | Julia Guerin | Psychologist | 4633 Aicholtz Rd, Cincinnati, OH 45244-1447 | 2020-07-07 |
| 1568086957 | Elizabeth Smith | Psychologist | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2020-06-02 |
| 1811526924 | Brooke Reidy | Psychologist | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2020-04-02 |
| 1659908671 | Julia Catherine Beattie | Psychologist | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2020-03-27 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45244 |
Please comment or provide details below to improve the information on JESSICA E WAGNER.
| 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.