ERICA L WAGNER (NPI# 1649602749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649602749 |
| Entity Type | Individual |
| Full Name | ERICA L WAGNER |
| Practice Address |
2500 Overlook Ter Madison WI 53705-2254 |
| Mailing Address |
2127 E Broadway Unit A Waukesha WI 53186-8159 |
| Practice Telephone | 6082561901 |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2013-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 17183-40 | WI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070710 | Erica Rhea Wagner | Social Worker | 4873 E Cooper St, Tucson, AZ 85711-3617 | 2020-10-12 |
| 1851895106 | Erica Lynn Wagner | Occupational Therapist | 529 New Garden Rd, New Paris, OH 45347-9119 | 2018-03-21 |
| 1407259989 | Erica Wagner | Social Worker | 1025 S Ohio Ave, Apartment 1, Lakeland, FL 33803-6200 | 2014-09-29 |
| 1184178006 | Erica Marie Wagner | Physical Therapist | 1000 E 1st St, Suite 400, Duluth, MN 55805-2297 | 2016-08-09 |
| Street Address |
2500 OVERLOOK TER |
| City | MADISON |
| State | WI |
| Zip Code | 53705-2254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104820448 | Diane Marie Conway | Nurse Practitioner | 2500 Overlook Ter, Madison, WI 53705-2254 | 2005-06-01 |
| 1124627310 | Aracely Becerra | Social Worker | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-10-20 |
| 1679172027 | Christopher James Dietzman | Podiatrist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-10-17 |
| 1265039846 | Kathryn Ann Jamieson | Nurse Practitioner | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-10-06 |
| 1538766720 | Kevin Charles Cannon | Physical Therapist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-10-01 |
| 1194330670 | Rikki Hanifin | Pharmacist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-09-11 |
| 1184238172 | Julia Grace Gilbertson | Pharmacist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-09-07 |
| 1073127072 | Mackenzie Betancur | Pharmacist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-09-07 |
| 1265043061 | Bradley John Rehrauer | Physical Medicine & Rehabilitation | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-08-14 |
| 1629688783 | Taylor Iverson | Registered Nurse | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629563986 | Magdalena Maria Siodlak | Pharmacist | 2500 Overlook Terrace (119), Madison, WI 53705 | 2018-06-28 |
| 1104343243 | Aisling Margaret Tallman | Physician Assistant | 725 University Row, Apt 124, Madison, WI 53705 | 2017-08-29 |
| 1346785938 | Rachel Maria Sanabria | Social Worker | 4513 Vernon Blvd Ste 100, Madison, WI 53705 | 2017-01-05 |
| 1124482856 | Samantha Jo Juve | Social Worker | 313 Price Pl Ste 212, Madison, WI 53705 | 2016-04-08 |
| 1912373002 | Brittany Dennis | Counselor | 5005 University Avenue, Suite 100, Madison, WI 53705 | 2015-08-12 |
| 1225456981 | John Martin Floberg | Radiology | 2140, Med 4 Mailbox, Hslc, 750 Highland Ave., Madison, WI 53705 | 2014-03-31 |
| 1457693319 | Matthew Ryan May-curry | Psychiatry & Neurology | 2500 Overlook Ter # 116a, Madison, WI 53705 | 2013-03-19 |
| 1396083168 | Madison Psychiatric & Psychological Services | Psychiatry & Neurology | 702 N. Blackhawk Ave, #100, Madison, WI 53705 | 2013-01-29 |
| 1174872808 | Natasha Bulat | Massage Therapist | 5317 Old Middleton Rd, Room #102, 'hot Stone Therapy & Massage', Madison, WI 53705 | 2012-09-10 |
| 1033401609 | Ann B Braus | Family Medicine | 6209 Mineral Point Rd, Madison, WI 53705 | 2011-05-13 |
| Find all providers in zip 53705 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346840956 | Candi Ashton | Pharmacist | 6011 N Rector Rd, Madison, IN 47250-7624 | 2020-11-01 |
| 1154931038 | Alyson Giragosian | Pharmacist | 4818 Kingsford Way, Madison, WI 53704-6498 | 2020-08-05 |
| 1801415641 | Genesee Fernandez | Pharmacist | 170 Sagebrook Dr, Madison, AL 35757-7684 | 2020-04-12 |
| 1417583568 | Kimberly Maerz | Pharmacist | 6701 Mineral Point Rd, Madison, WI 53705-4241 | 2020-03-20 |
| 1942845896 | Nikita Jain | Pharmacist | 857 Durham Rd, Madison, CT 06443-1827 | 2019-11-14 |
| 1437704939 | Morgan A Wynes | Pharmacist | 600 Highland Ave # F6160, Madison, WI 53792-0001 | 2019-08-02 |
| 1467005322 | Elisa Rowland | Pharmacist | 12070 County Line Rd Ste C, Madison, AL 35756-2000 | 2019-07-19 |
| 1669034849 | Jessica Chmielinski | Pharmacist | 2500 Overlook Ter Dept 119, Madison, WI 53705-2254 | 2019-07-08 |
| 1265903702 | Steven Michael Dixon | Pharmacist | 41 Chestnut Hill Rd, Madison, CT 06443-1816 | 2018-12-10 |
| 1609358050 | Fallon Callahan | Pharmacist | 136 Samson Rock Drive, Madison, CT 06413 | 2018-09-02 |
| Find all providers in MADISON | ||||
Please comment or provide details below to improve the information on ERICA L 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.