BETHANY WAGNER (NPI# 1831614999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831614999 |
| Entity Type | Individual |
| Full Name | BETHANY WAGNER |
| Credential | CRNP |
| Practice Address |
86 Mcclellandtown Rd # Pa Uniontown PA 15401-5527 |
| Mailing Address |
86 Mcclellandtown Rd Uniontown PA 15401-5527 |
| Practice Telephone | 7244307990 |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2017-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP017735 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861472854 | Bethany Wagner | Nurse Practitioner | 3601 Tvc, Nashville, TN 37232-0001 | 2006-01-18 |
| Street Address |
86 MCCLELLANDTOWN RD # PA |
| City | UNIONTOWN |
| State | PA |
| Zip Code | 15401-5527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811541808 | Kevin C Kutchman | Physical Medicine & Rehabilitation | 15 Morgantown Street, Uniontown, PA 15401 | 2019-07-28 |
| 1316502958 | Rosalia Friess | Occupational Therapist | 147 Lafayette Street, Uniontown, PA 15401 | 2019-05-09 |
| 1801369012 | Jill Cristen Bellush | Occupational Therapy Assistant | Lafayette Manor, Inc, 147 Lafayette Manor Road, Uniontown, PA 15401 | 2019-01-10 |
| 1679054183 | Wellness Recovery LLC | Counselor | 9-11 Veech St., Uniontown, PA 15401 | 2018-08-23 |
| 1851802185 | Young Men's Christian Association of Uniontown | Health Educator | One Ymca Drive, Uniontown, PA 15401 | 2017-10-13 |
| 1942730759 | Michele Dice | Social Worker | 89 W. Fayette Street, Uniontown, PA 15401 | 2017-06-14 |
| 1427593425 | Revital Metro | Counselor | 1203 Pittsburgh Road, Suite 101, Uniontown, PA 15401 | 2016-12-29 |
| 1366987729 | Michelle Carolla | Physician Assistant | 141 Wayland Smith Drive, Uniontown, PA 15401 | 2016-12-21 |
| 1558805176 | Samantha Helmantoler | Counselor | 1023 Pittsburgh Road, Uniontown, PA 15401 | 2016-12-16 |
| 1639527351 | Fayette Resources, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Millennium Drive Suite 2, Uniontown, PA 15401 | 2016-06-03 |
| Find all providers in zip 15401 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447721394 | Amber Rae Thompson | Nurse Practitioner | 103 Transit Dr Ste 300, Uniontown, PA 15401-2659 | 2018-12-17 |
| 1588190409 | Lyndsay Balogh | Nurse Practitioner | 202 Jacob Murphy Ln Ste 102, Uniontown, PA 15401-2686 | 2017-05-11 |
| 1851834360 | Olivia Conway | Nurse Practitioner | 97 Deleware Avenue, Suite 103, Uniontown, PA 15401-3137 | 2016-12-01 |
| 1013318765 | Angela Lynn Johnston | Nurse Practitioner | 630 Cherry Tree Lane, Uniontown, PA 15401 | 2014-09-12 |
| 1134476625 | Linda Rae Gardner | Nurse Practitioner | 500 W. Berkely St, C/o Hospital Care Associates, Uniontown, PA 15401 | 2012-08-14 |
| 1730714148 | Tracy Maurer | Nurse Practitioner | 3743 Boettler Oaks Dr Ste E, Uniontown, OH 44685-6227 | 2020-03-05 |
| 1932733128 | Stacey Shankle | Nurse Practitioner | 104 Delaware Ave Ste 244, Uniontown, PA 15401-3100 | 2020-02-26 |
| 1508417288 | Forrest Folk | Nurse Practitioner | 1940 Town Park Blvd, Uniontown, OH 44685-7855 | 2019-09-24 |
| 1073163028 | Vicki Lynn Morgan | Nurse Practitioner | 289 Mcclellandtown Rd, Uniontown, PA 15401-3107 | 2019-09-11 |
| 1891340527 | Moriah Lynn Mowry | Nurse Practitioner | 500 W Berkeley St, Uniontown, PA 15401-5514 | 2019-08-08 |
| Find all providers in UNIONTOWN | ||||
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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.