KAITLYN DIANE WAGNER (NPI# 1780135855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780135855 |
| Entity Type | Individual |
| Full Name | KAITLYN DIANE WAGNER |
| Credential | PA |
| Practice Address |
3832 Cattail Marsh Ct #241 Palm Harbor FL 34684-4338 |
| Practice Telephone | 6102170807 |
| Mailing Telephone | 6102170807 |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9109756 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3832 CATTAIL MARSH CT #241 |
| City | PALM HARBOR |
| State | FL |
| Zip Code | 34684-4338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265042147 | Patrick Curry | Nurse Practitioner | 2815 Us-19 Alt, Suite B, Palm Harbor, FL 34684 | 2020-08-05 |
| 1649897059 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 2375 Curlew Road, Palm Harbor, FL 34684 | 2020-07-01 |
| 1679068142 | Barbara Purcell | Hearing Instrument Specialist | 34026 Us Hwy 19 N, Palm Harbor, FL 34684 | 2018-06-27 |
| 1134623507 | Virginia Lynn Kappel | Behavior Technician | 3371 Preakness Place, Apt. 1309, Palm Harbor, FL 34684 | 2018-03-21 |
| 1093228587 | Cosmetic Medicine Enterprises Inc | Otolaryngology | 34156 Us Hwy 19 N, Palm Harbor, FL 34684 | 2017-11-07 |
| 1821512088 | Robin Ann Polizzi | Registered Nurse | 3474 Rolling Trail, Palm Harbor, FL 34684 | 2017-07-31 |
| 1699202846 | Allied Care Services, LLC | Non-emergency Medical Transport (VAN) | 231 Morgan Ct, Palm Harbor, FL 34684 | 2017-05-18 |
| 1730632522 | Fox Chase Emergency Physicians LLC | Physician Assistant | 35750 Us 19 North, Palm Harbor, FL 34684 | 2016-07-27 |
| 1881052983 | Sandra Hanna | Pharmacist | 2583 Country Grove Blvd, Palm Harbor, FL 34684 | 2016-02-03 |
| 1629453469 | Jesse H Rodriguez | Nurse Practitioner | 2595 Tampa Rd. Suite S&t, Palm Harbor, FL 34684 | 2015-07-22 |
| Find all providers in zip 34684 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992310585 | Felicia Kavalec | Physician Assistant | 3638 Trafalgar Way Apt 104, Palm Harbor, FL 34685-4178 | 2020-09-10 |
| 1811550395 | Michael Mcmeekin | Physician Assistant | 4760 Brayton Ter N, Palm Harbor, FL 34685-2612 | 2019-04-19 |
| 1639676547 | Michael Scott Blakeslee | Physician Assistant | 4392 Live Oak Blvd, Palm Harbor, FL 34685-4021 | 2018-04-07 |
| 1730632522 | Fox Chase Emergency Physicians LLC | Physician Assistant | 35750 Us 19 North, Palm Harbor, FL 34684 | 2016-07-27 |
| 1073066189 | Fox Chase Emergency Physicians LLC | Physician Assistant | 35750 Us 19 N, Palm Harbor, FL 34684-1703 | 2016-07-26 |
| 1730132408 | Timothy Richard Shaner | Physician Assistant | 4132 Woodlands Pkwy, Palm Harbor, FL 34685-3494 | 2006-05-17 |
| 1780645168 | Theresa R Gribbin | Physician Assistant | 31581 Us Highway 19 N, Palm Harbor, FL 34684-3724 | 2006-03-28 |
| 1962953885 | Thomas Hains | Physician Assistant | 3890 Tampa Rd Ste 202, Palm Harbor, FL 34684 | 2016-10-14 |
| 1417321894 | Trevor Allen Kolski | Physician Assistant | 3890 Tampa Rd Ste 202, Palm Harbor, FL 34684-3677 | 2015-11-22 |
| 1235460528 | Ashlee Eberhardt Kirkland | Physician Assistant | 4197 Woodlands Pkwy, Palm Harbor, FL 34685-3493 | 2010-01-26 |
| Find all providers in PALM HARBOR | ||||
| City | PALM HARBOR |
| Zip Code | 34684 |
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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.