MRS. KENNA LEA WAGNER (NPI# 1730741158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730741158 |
| Entity Type | Individual |
| Full Name | MRS. KENNA LEA WAGNER |
| Credential | MSN, APRN, FNP-BC |
| Practice Address |
60 Lock St Lowell OH 45744-9023 |
| Practice Telephone | 3045886574 |
| Mailing Telephone | 3045886574 |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2019-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
025229 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
103969 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
60 LOCK ST |
| City | LOWELL |
| State | OH |
| Zip Code | 45744-9023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326367186 | L-a Joint Fire District | Ambulance | 223 Lock Street, Lowell, OH 45744 | 2010-05-19 |
| 1427665629 | Tamela Kay Offenberger | Homemaker | 1237 Cider Mill Rd, Lowell, OH 45744-7118 | 2020-09-30 |
| 1992277214 | Jody Huck | Nurse Practitioner | 4010 Rainbow Rd, Lowell, OH 45744-7176 | 2018-12-27 |
| 1497853287 | Roland J Amash | Chiropractor | 6725 State Route 60, Lowell, OH 45744-7307 | 2006-09-20 |
| 1003038159 | Becky Lynne Burge | Home Health Aide | 963 Tick Hill Rd, Lowell, OH 45744-7486 | 2007-05-02 |
| 1164644712 | Diana Hart | Home Health Aide | 963 Tick Hill Rd, Lowell, OH 45744-7486 | 2007-05-03 |
| 1063010999 | Julia Marie Morris | Driver | 860 Tick Hill Rd, Lowell, OH 45744-7492 | 2020-10-13 |
| 1306091483 | Bridget E Warren | Licensed Practical Nurse | 815 Vanfossen Rd, Lowell, OH 45744-7526 | 2008-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912394 | Angel Visiting Hands Healthcare Services | Home Health Aide | 16 Berwick St, Lowell, MA 01852-4908 | 2020-11-03 |
| 1538760186 | Sockviehhea Thou | Registered Nurse | 80 Rogers St Unit 401, Lowell, MA 01852-3690 | 2020-11-02 |
| 1841890985 | Catherine Grace York | Dietitian, Registered | 318 Pawtucket St Apt 301, Lowell, MA 01854-3426 | 2020-10-28 |
| 1356949994 | Kristin M Colford | Behavior Technician | 1217 Catawba Run, Lowell, NC 28098-1508 | 2020-10-15 |
| 1255939906 | Jacqueline Kinuthia | Registered Nurse | 116 Midland St, Lowell, MA 01851-4639 | 2020-10-14 |
| 1063010999 | Julia Marie Morris | Driver | 860 Tick Hill Rd, Lowell, OH 45744-7492 | 2020-10-13 |
| 1447857768 | Susan Davis Phillips | Speech-Language Pathologist | 519 Latham Dr Fl 2, Lowell, AR 72745-8360 | 2020-10-08 |
| 1962009795 | Adam Riggio | Massage Therapist | 100 Merrimack St Ste 305, Lowell, MA 01852-1706 | 2020-10-05 |
| 1477150399 | Mighty Strides Behavior Solutions LLC | Behavioral Analyst | 549 Pine St Suite 19, Lowell, MA 01851-2336 | 2020-10-04 |
| 1912504002 | Being Centered LLC | Psychologist | 716 Amity St, Lowell, MI 49331-1388 | 2020-10-02 |
| Find all providers in LOWELL | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679187207 | Laura Jeannine Neal | Nurse Practitioner | 11399 Kelly Ln, Lowell, AR 72745-8643 | 2020-09-01 |
| 1578184693 | Desiree Lynn Hilborn | Nurse Practitioner | 638 Creekside Dr Apt 208, Lowell, IN 46356-7911 | 2020-04-29 |
| 1184280091 | Joyce Gichana | Nurse Practitioner | 1001 Westford St Apt 14, Lowell, MA 01851-2741 | 2019-05-15 |
| 1760956536 | Melanie Burgess Dumont | Nurse Practitioner | 71 Jackson St Unit 313, Lowell, MA 01852-2178 | 2019-01-15 |
| 1992277214 | Jody Huck | Nurse Practitioner | 4010 Rainbow Rd, Lowell, OH 45744-7176 | 2018-12-27 |
| 1477077295 | Melissa Rose Stewart | Nurse Practitioner | 15896 Cow Face Rd, Lowell, AR 72745-9158 | 2017-08-02 |
| 1174071286 | Ruth Walsworth | Nurse Practitioner | 595 Pawtucket Blvd Ste 2, Lowell, MA 01854-2042 | 2016-09-18 |
| 1750634531 | Jill Irene Maddack | Nurse Practitioner | 4500 W 181st Ave, Lowell, IN 46356-0017 | 2012-10-18 |
| 1376806760 | Gretchen E Brannon | Nurse Practitioner | 114 Harrison Ave., Lowell Pharmacy Blds, Lowell, AR 72745 | 2012-06-20 |
| 1427299007 | Kristin A. Larson | Nurse Practitioner | 220 Pawtucket St Suite 300, University Crossing, Lowell, MA 01854 | 2009-03-12 |
| Find all providers in LOWELL | ||||
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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.