JODY WAGNER


Address: 6400 Uptown Blvd Ne Ste 385, Albuquerque, NM 87110-4202
Phone: 5058559845

JODY WAGNER (NPI# 1669971339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WS0200X Registered Nurse
Specialization: School
R29318 NM Nursing Service Providers

Other Providers JODY WAGNER

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

Office Location

Street Address 6400 UPTOWN BLVD NE STE 385
City ALBUQUERQUE
State NM
Zip Code 87110-4202

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952800690 Kathleen Sallee Registered Nurse 6400 Uptown Blvd Ne Ste 385, Albuquerque, NM 87110-4202 2018-02-08

Providers in the same zip code

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 Information

Taxonomy Code 163WS0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City ALBUQUERQUE
Zip Code 87110

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Dataset Information

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.

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