ALEXIS WAGNER (NPI# 1811519416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811519416 |
| Entity Type | Individual |
| Full Name | ALEXIS WAGNER |
| Credential | RD |
| Practice Address |
851 4th Ave E Dickinson ND 58601-4014 |
| Mailing Address |
12274 Highway 10 South Heart ND 58655-9752 |
| Practice Telephone | 7014567242 |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2020-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972088789 | Alexis Brooke Wagner | Occupational Therapist | 3200 Vine St, Cincinnati, OH 45220-2213 | 2018-09-27 |
| Street Address |
851 4TH AVE E |
| City | DICKINSON |
| State | ND |
| Zip Code | 58601-4014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578554374 | Benedictine Living Communities, Inc. | Skilled Nursing Facility | 851 4th Ave E, Dickinson, ND 58601-4014 | 2005-10-31 |
| 1154930873 | Chelsey P Yantzer | Occupational Therapist | 851 4th Ave E, Dickinson, ND 58601-4070 | 2020-07-28 |
| 1982185047 | Sarah A Gromko | Speech-Language Pathologist | 851 4th Ave E, Dickinson, ND 58601-4070 | 2018-08-27 |
| 1417447020 | Sierra Nicole Roshau | Physical Therapist | 851 4th Ave E, Dickinson, ND 58601-4070 | 2018-05-18 |
| 1376084806 | Marissa Loll | Occupational Therapy Assistant | 851 4th Ave E, Dickinson, ND 58601-4014 | 2017-03-16 |
| 1740733153 | Shelby Brewer | Physical Therapy Assistant | 851 4th Ave E, Dickinson, ND 58601-4014 | 2016-08-02 |
| 1689052144 | Jennifer Flemmer | Physical Therapist | 851 4th Ave E, Dickinson, ND 58601 | 2015-05-15 |
| 1033428453 | Stephanie Marie Weinreis | Physical Therapy Assistant | 851 4th Ave E, St Benedict's Health Center, Dickinson, ND 58601 | 2010-10-04 |
| 1033421698 | Haylee Peters | Occupational Therapist | 851 4th Ave E, Dickinson, ND 58601-4014 | 2010-07-11 |
| 1578792479 | Stephanie Barbara Sambor | Physical Therapist | 851 4th Ave E, Dickinson, ND 58601-4014 | 2009-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679171235 | Able Inc | Community/Behavioral Health | 1951 1st Street West, Dickinson, ND 58601 | 2020-10-15 |
| 1922626456 | Tess R Johnson, Pllc | Clinic/Center | 579 River Drive, Dickinson, ND 58601 | 2020-07-10 |
| 1295367449 | Winds of Change Counseling Services LLC | Psychologist | 30 7th St. W, Door A, Dickinson, ND 58601 | 2020-02-05 |
| 1588194351 | Nancy Wanner | Case Manager/Care Coordinator | 135 Sims Street, Suite 208, Dickinson, ND 58601 | 2017-06-14 |
| 1518332352 | Chi St. Joseph's Hospital | General Acute Care Hospital | 2500 Fairway St., Dickinson, ND 58601 | 2015-12-04 |
| 1205200359 | Jenna Weisz | Occupational Therapist | 870 Pheasant Run Ave, Dickinson, ND 58601 | 2015-11-29 |
| 1609243450 | Little Missouri Chiropractic, LLC | Chiropractor | 1462 1-94 Business Loop East, Dickinson, ND 58601 | 2015-08-27 |
| 1053799320 | Lisette Michaels | Speech-Language Pathologist | 683 State Ave N, Dickinson, ND 58601 | 2015-05-07 |
| 1336548221 | Neal Steiner | Pharmacist | 352c 1st St E, Dickinson, ND 58601 | 2014-08-18 |
| 1841607793 | Isaac Akinola | Pharmacist | 1681 Third Ave W., Dickinson, ND 58601 | 2014-07-11 |
| Find all providers in zip 58601 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790032829 | Joseph Robert Champa | Dietitian, Registered | 2358 4th St W, Dickinson, ND 58601-2433 | 2012-08-08 |
| 1255939146 | Katie Nicole Klug | Dietitian, Registered | 2500 Fairway St, Dickinson, ND 58601-2639 | 2020-10-13 |
| 1083187348 | Gabrielle K Hartze | Dietitian, Registered | 2500 Fairway St, Dickinson, ND 58601-2639 | 2019-01-09 |
| 1285135731 | Dietitian Danielle LLC | Dietitian, Registered | 951 Fm 646 Rd E Ste A8, Dickinson, TX 77539-5597 | 2018-02-21 |
| 1871008193 | Danielle Johnson | Dietitian, Registered | 951 Fm 646 Rd E Ste A8, Dickinson, TX 77539-5597 | 2017-12-08 |
| 1316362031 | Suzanne Bruels | Dietitian, Registered | 30 7th St W, Dickinson, ND 58601-4335 | 2014-03-04 |
| 1023370780 | Larissa Ann Kohler | Dietitian, Registered | 2615 Fairway St, Dickinson, ND 58601 | 2012-06-08 |
| 1760796585 | Elizabeth Anne Looney | Dietitian, Registered | 200 Hughes Rd, Dickinson, TX 77539-7332 | 2010-08-04 |
| 1629302146 | Alexis Helen Quammen | Dietitian, Registered | 30 7th St W, Dickinson, ND 58601-4335 | 2009-09-30 |
| 1689864068 | Bridget Bullinger | Dietitian, Registered | 30 7th St W, Dickinson, ND 58601-4335 | 2007-07-31 |
| Find all providers in DICKINSON | ||||
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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.