JODY WAGNER (NPI# 1669971339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669971339 |
Entity Type | Individual |
Full Name | JODY WAGNER |
Credential | RN |
Practice Address |
6400 Uptown Blvd Ne Ste 385 Albuquerque NM 87110-4202 |
Mailing Address |
Po Box 25704 Albuquerque NM 87125-0704 |
Practice Telephone | 5058559845 |
Enumeration Date | 2018-02-07 |
Last Update Date | 2018-02-07 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WS0200X |
Registered Nurse Specialization: School |
R29318 | NM | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699246421 | Jody Lynn Wagner | Speech-Language Pathologist | 204 Market Street, Denton, MD 21629 | 2018-12-05 |
1487656799 | Jody Michelle Wagner | Chiropractor | N110 Brux Rd, Appleton, WI 54915-9439 | 2005-06-01 |
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 |
6400 UPTOWN BLVD NE STE 385 |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87110-4202 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952800690 | Kathleen Sallee | Registered Nurse | 6400 Uptown Blvd Ne Ste 385, Albuquerque, NM 87110-4202 | 2018-02-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
Find all providers in zip 87110 |
Taxonomy Code | 163WS0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801408695 | Lea Reynolds | Registered Nurse | 5317 2nd St Sw, Albuquerque, NM 87105-0766 | 2020-08-21 |
1760015655 | Martha Featherstone | Registered Nurse | 12015 Tivoli Ave Ne Ste B, Albuquerque, NM 87111-5366 | 2020-02-19 |
1548815269 | Andrea Romero | Registered Nurse | 400 Edith Blvd Ne, Albuquerque, NM 87102-2510 | 2019-08-08 |
1235784083 | Samantha Cabral | Registered Nurse | 2800 Vermejo Park Dr Sw, Albuquerque, NM 87121-7200 | 2019-08-08 |
1093282725 | Tomasita Sedillo | Registered Nurse | 4050 118th St Sw, Albuquerque, NM 87121 | 2018-10-31 |
1780164145 | Ara Romero | Registered Nurse | 2700 Mountain Rd Nw, Albuquerque, NM 87104-1716 | 2018-08-15 |
1568941383 | Elizabeth Wiggins-brooks | Registered Nurse | 1440 Gatewood Ave Sw, Albuquerque, NM 87105-3717 | 2018-08-13 |
1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
1992256770 | Marjane Glazebrook | Registered Nurse | 801 Stephen Moody St Se, Albuquerque, NM 87123-1994 | 2016-10-17 |
1558782516 | Donna Bader | Registered Nurse | 6400 Uptown Blvd Ne Ste 360w, Albuquerque, NM 87110-4295 | 2013-12-18 |
Find all providers in ALBUQUERQUE |
City | ALBUQUERQUE |
Zip Code | 87110 |
Please comment or provide details below to improve the information on JODY 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.