MICHELLE WAGNER (NPI# 1790265262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790265262 |
| Entity Type | Individual |
| Full Name | MICHELLE WAGNER |
| Credential | RN |
| Practice Address |
4949 Liberty Ln Ste 210 Allentown PA 18106-9063 |
| Practice Telephone | 6109662676 |
| Mailing Telephone | 6109662676 |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
RN555235 | PA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578032066 | Michelle Wagner | Speech-Language Pathologist | 17732 Highland Rd Ste G254, Baton Rouge, LA 70810-3846 | 2018-11-14 |
| 1528265956 | Michelle Dean Wagner | Counselor | 833 Broadway St, Suite 103, Cape Girardeau, MO 63701-5515 | 2007-06-29 |
| 1326539180 | Michelle Diane Wagner | Student in an Organized Health Care Education/Training Program | 1250 E Marshall St # 980264, Richmond, VA 23298-5051 | 2018-05-28 |
| 1194276113 | Michelle Wagner | Registered Nurse | 401 Cypress St, Manchester, NH 03103 | 2016-10-14 |
| 1396123485 | Michelle Wagner | Dietitian, Registered | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2015-05-11 |
| 1689006181 | Michelle Lynn Wagner | Nurse Practitioner | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2013-08-07 |
| 1407101843 | Michelle Wagner | Behavioral Analyst | 9755 Lincoln Village Dr, Sacramento, CA 95827-3334 | 2012-07-23 |
| 1982984811 | Michelle Dillon Wagner | Speech-Language Pathologist | 17045 El Camino Real, Suite 106, Houston, TX 77058-2649 | 2011-08-23 |
| 1346566577 | Michelle Jayne Wagner | Family Medicine | 248 Mchenry St, Burlington, WI 53105-1828 | 2010-04-13 |
| 1831340850 | Michelle Wagner Iv | Physical Therapist | 21800 Chardon Rd, Euclid, OH 44117-2125 | 2008-10-08 |
| Street Address |
4949 LIBERTY LN STE 210 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18106-9063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619264116 | Karen King | Licensed Practical Nurse | 4949 Liberty Ln Ste 210, Allentown, PA 18106 | 2011-07-05 |
| 1043775653 | Samantha Owuor | Licensed Vocational Nurse | 4949 Liberty Ln Ste 210, Allentown, PA 18106-9063 | 2019-02-07 |
| 1437623105 | Erika Rosa | Licensed Practical Nurse | 4949 Liberty Ln Ste 210, Allentown, PA 18106-9063 | 2019-01-16 |
| 1730663097 | Lana Snyder | Registered Nurse | 4949 Liberty Ln Ste 210, Allentown, PA 18106-9063 | 2018-09-21 |
| 1225511603 | Shamika Jeanphilippe | Licensed Practical Nurse | 4949 Liberty Ln Ste 210, Allentown, PA 18106-9063 | 2018-09-11 |
| 1104309590 | Shaketia Lott | Licensed Practical Nurse | 4949 Liberty Ln Ste 210, Allentown, PA 18106-9063 | 2018-09-11 |
| 1972083095 | Pamela Talbot-atkinson | Licensed Practical Nurse | 4949 Liberty Ln Ste 210, Allentown, PA 18106-9063 | 2018-08-17 |
| 1902386444 | Laurine Nyanya | Licensed Practical Nurse | 4949 Liberty Ln Ste 210, Allentown, PA 18106-9063 | 2018-08-15 |
| 1639666282 | Everyday Home Care- Allentown | Respite Care | 4949 Liberty Ln Ste 210, Allentown, PA 18106-9063 | 2018-04-19 |
| 1447779855 | Garry Hyppolite | Registered Nurse | 4949 Liberty Ln Ste 210, Allentown, PA 18106-9063 | 2017-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881184760 | Planned Parenthood Keystone | Obstetrics & Gynecology | 5920 Hamilton Blvd Ste 201, Allentown, PA 18106 | 2018-05-16 |
| 1457870008 | Sara Elghandour | Registered Nurse | 4949 Liberty Lane, Suite 210, Allentown, PA 18106 | 2017-09-14 |
| 1023563293 | Dianne Michels | Counselor | 1011 Brookside Rd Ste 210, Allentown, PA 18106 | 2016-08-17 |
| 1487009791 | Costco Wholesale Corporation | Pharmacy | 791 N Krocks Rd, Allentown, PA 18106 | 2016-04-25 |
| 1679939938 | Jeremy James Falgout | Counselor | 1101 Brookside Rd, Suite 230, Allentown, PA 18106 | 2016-01-01 |
| 1285012740 | Progressive Surgical Institute Abe Inc | Clinic/Center | 5201 Hamilton Blvd., Allentown, PA 18106 | 2015-05-15 |
| 1477977031 | Amanda Shaffer Dobrowolski | Counselor | 1011 Brookside Rd Ste 220, Allentown, PA 18106 | 2014-02-18 |
| 1538453162 | Patrick M. Sewards, Md, LLC | Clinic/Center | 1150 Glenlivet Dr., A-21, Allentown, PA 18106 | 2011-05-31 |
| 1790083178 | Amy J Silverman | Counselor | 1011 Brookside Rd Ste 240, Allentown, PA 18106 | 2011-03-08 |
| 1497087597 | Susan R Adkins | Physician Assistant | 227 Pennsylvania 100, Allentown, PA 18106 | 2010-02-01 |
| Find all providers in zip 18106 | ||||
| Taxonomy Code | 163WA2000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Administrator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275143703 | Tameka Mayers | Registered Nurse | 5727 Windsor Ave, Philadelphia, PA 19143-5232 | 2020-08-10 |
| 1730712514 | Megan Ann Infanti Mraz | Registered Nurse | 930 E Lincoln Hwy, Exton, PA 19341-2878 | 2020-02-19 |
| 1851939615 | Erika Marie Wimbish | Registered Nurse | 2240 William Penn Hwy, Pittsburgh, PA 15235-2775 | 2019-12-11 |
| 1962066019 | Jamie Whiting | Registered Nurse | 95 Lempa Rd, Holland, PA 18966-2413 | 2019-04-24 |
| 1043709058 | Penny Hayward | Registered Nurse | 2308 Carson St, Mckeesport, PA 15132-7806 | 2018-05-04 |
| 1366941601 | Reverent Nursing Care, LLC | Registered Nurse | 2342 Beacon Hill Rd, Lancaster, PA 17601-2810 | 2018-02-01 |
| 1356794119 | Kathleen Pollock | Registered Nurse | 1 Green Ridge Rd, Mechanicsburg, PA 17050-1507 | 2016-07-18 |
| 1861852881 | Patricia Renee Bruce | Registered Nurse | 606 Gorgas Ln, Philadelphia, PA 19128-2448 | 2016-03-03 |
| 1518306356 | Jennifer Anne Parco | Registered Nurse | 1183 Jacks Run Road, Pediatria Healthcare for Kids, North Versailles, PA 15137 | 2013-06-14 |
| 1689922312 | Lisa Smeltzer | Registered Nurse | 491 E. Eighth Avenue, Homestead, PA 15120 | 2012-08-28 |
| Find all providers with the same taxonomy | ||||
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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.