KRISTIN WAGONER (NPI# 1750790697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750790697 |
| Entity Type | Individual |
| Full Name | KRISTIN WAGONER |
| Credential | RN |
| Practice Address |
2701 Fine Ave Modesto CA 95355-9773 |
| Practice Telephone | 3146980194 |
| Mailing Telephone | 3146980194 |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 2012009946 | MO | Nursing Service Providers |
| Street Address |
2701 FINE AVE |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-9773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
| Find all providers in zip 95355 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437776804 | Matthew Trevena | Registered Nurse | 1900 Natchez Way, Modesto, CA 95355-8713 | 2020-07-01 |
| 1609496256 | Morgan Teese | Registered Nurse | 2213 Mountain Quail Way, Modesto, CA 95355-9227 | 2020-04-23 |
| 1093263493 | Emem Ukpabio | Registered Nurse | 209 Kerr Ave, Modesto, CA 95354-3808 | 2016-09-14 |
| 1285085456 | Heather M Hollander | Registered Nurse | 1444 Florida Ave Ste 202, Modesto, CA 95350-4400 | 2016-06-28 |
| 1104235688 | Alejandra Robles Guzman | Registered Nurse | 830 Scenic Drive, Bldg. 3, Modesto, CA 95353-3127 | 2014-08-08 |
| 1285065334 | Sarah Romero | Registered Nurse | 1431 Mchenry Ave Ste 100, Modesto, CA 95350-4534 | 2013-11-27 |
| 1538402102 | Ann Lucille Bonfiglio | Registered Nurse | 1517 Meadow Grove St, Modesto, CA 95355-1126 | 2013-04-02 |
| 1497005086 | Melissa Nicole Arnold Padilla | Registered Nurse | 2604 Amir Dr, Modesto, CA 95355-8693 | 2012-09-11 |
| 1477826105 | Jerome M Azevedo | Registered Nurse | 1441 Flordia Avenue, Modesto, CA 95350 | 2012-02-10 |
| 1841526134 | Jonnie York | Registered Nurse | 251 E. Hackett Road, Modesto, CA 95353 | 2009-10-22 |
| Find all providers in MODESTO | ||||
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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.