MRS. KIMBERLY LUE WAGNER (NPI# 1922325497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922325497 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY LUE WAGNER |
| Credential | MD |
| Practice Address |
2312 N Nevada Ave Suite 100 Colorado Springs CO 80907-5302 |
| Practice Telephone | 7194733272 |
| Practice Fax Number | 7194731191 |
| Mailing Telephone | 7194733272 |
| Mailing Fax Number | 7194731191 |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2017-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
53519 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 03254356 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053755959 | Kimberly Wagner | Counselor | 533 Judy Ann Dr, Hahira, GA 31632-1303 | 2013-04-22 |
| 1164691465 | Kimberly H Wagner | Nurse Practitioner | 125 W Interstate 30, Royse City, TX 75189-7512 | 2008-02-21 |
| 1245352855 | Kimberly Wagner | Psychologist | 201 N Rose Ave, Room 32, Bloomington, IN 47405-1005 | 2007-04-04 |
| 1497379788 | Kimberly Ann Wagner | Registered Nurse | 6480 Technology Ave, Kalamazoo, MI 49009-8119 | 2020-06-02 |
| 1124542980 | Kimberly Marie Wagner | Specialist/Technologist | 59 Executive Park S Ste 1100, Atlanta, GA 30329-2208 | 2017-08-02 |
| 1861885477 | Kimberly Wagner | Specialist | 23936 Michigan Ave, Dearborn, MI 48124-1833 | 2015-03-07 |
| 1093154122 | Kimberly Wagner | Family Medicine | 2970 Pierce Rd, Suite 2, Saginaw, MI 48604-8810 | 2013-06-21 |
| 1588008320 | Kimberly Wagner | Counselor | 3830 S Cushman St, Fairbanks, AK 99701-7530 | 2013-04-23 |
| 1104176593 | Kimberly N Wagner | Physical Therapist | 750 Coronado Center Dr, Suite 120, Henderson, NV 89052-5034 | 2012-09-13 |
| 1114237575 | Kimberly Ann Wagner | Licensed Practical Nurse | 1 Perryman St, Lebanon, IL 62254-1356 | 2010-10-19 |
| Street Address |
2312 N NEVADA AVE SUITE 100 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80907-5302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639171549 | Joseph J Illig | Neurological Surgery | 2312 N Nevada Ave, Suite 100, Colorado Springs, CO 80907-5302 | 2005-08-10 |
| 1619502713 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 2312 N Nevada Ave, Colorado Springs, CO 80907-5302 | 2020-03-09 |
| 1720550205 | David Lee Miller | Social Worker | 2312 N Nevada Ave, Colorado Springs, CO 80907-5302 | 2018-12-21 |
| 1376076463 | Colorado Health Providers, LLC | Anesthesiology | 2312 N Nevada Ave, Suite 305, Colorado Springs, CO 80907-5302 | 2017-04-06 |
| 1790182939 | Jji Neuromonitoring Services LLC | Psychiatry & Neurology | 2312 N Nevada Ave, Suite 100, Colorado Springs, CO 80907-5302 | 2014-12-03 |
| 1851727549 | Caroline H Sudbay | Physician Assistant | 2312 N Nevada Ave, Suite 400, Colorado Springs, CO 80907-5302 | 2013-09-25 |
| 1649619685 | Anthony Nguyen | Anesthesiology | 2312 N Nevada Ave, Colorado Springs, CO 80907-5302 | 2013-06-24 |
| 1538402797 | Makai Monitoring | Neurological Surgery | 2312 N Nevada Ave, Ste 100, Colorado Springs, CO 80907-5302 | 2013-04-05 |
| 1992090732 | Julia Marie Brinley | Psychiatry & Neurology | 2312 N Nevada Ave, Ste 100, Colorado Springs, CO 80907-5302 | 2011-06-09 |
| 1376863522 | Catholic Health Initiatives Colorado | Surgery | 2312 N Nevada Ave, Suite 235, Colorado Springs, CO 80907-5302 | 2010-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871124057 | Margaret Elizabeth Macnabb | Occupational Therapist | 955 West Fillmore Street, Colorado Springs, CO 80907 | 2020-01-28 |
| 1598300394 | Eric L Peterson | Counselor | 4570 Hilton Pwky, Colorado Springs, CO 80907 | 2019-11-15 |
| 1669020160 | Vcphcs Xii, LLC | Clinic/Center | 4157-4159 Centennial Blvd, Colorado Springs, CO 80907 | 2019-08-28 |
| 1366907123 | Natural Healthcare, LLC | Chiropractor | 3030 N Hancock Ave Suite D, Colorado Springs, CO 80907 | 2019-02-06 |
| 1063981777 | Samuel Ray Porterfield | Social Worker | Pfc Floyd K. Lindstrom Outpatient Clinic, 3141 Centennial Blvd., Colorado Springs, CO 80907 | 2018-11-26 |
| 1982170114 | A Physicians Home Care | Home Health | 905 W Garden of The Gods Rd Suite F, Colorado Springs, CO 80907 | 2018-10-15 |
| 1689196180 | Reena Annetta Manka | Counselor | 888 Garden of The Gods, 150, Colorado Springs, CO 80907 | 2017-07-17 |
| 1356870356 | Solaris Hc Co Inc | Hospice Care, Community Based | 1045 Garden of Gods Rd, Colorado Springs, CO 80907 | 2017-06-05 |
| 1649704826 | Colorado Springs Urological Associates Pllc | Urology | 1644 Medical Center Point, Suite 200, Colorado Springs, CO 80907 | 2017-04-14 |
| 1194274704 | Sarah Lynn Hartman | Dietitian, Registered | 3207 North Academy Blvd, Colorado, CO 80907 | 2016-09-23 |
| Find all providers in zip 80907 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194340414 | Northstar Neurology of Colorado Springs PC | Psychiatry & Neurology | 3920 N Union Blvd Ste 150, Colorado Springs, CO 80907-1907 | 2020-06-11 |
| 1518478692 | Grabert Health, LLC | Psychiatry & Neurology | 7871 Dutchrock Rd, Colorado Springs, CO 80919-3893 | 2017-10-17 |
| 1265601645 | Patricia A. Fodor, M.d. P.C. | Psychiatry & Neurology | 7606 N. Union, Suite G, Colorado Springs, CO 80920 | 2008-02-29 |
| 1295916989 | Colorado Center for Neuroscience, PC | Psychiatry & Neurology | 1715 N Weber St # 100, Colorado Springs, CO 80907-7524 | 2007-11-21 |
| 1346324746 | Bradley J Davis | Psychiatry & Neurology | 8715 Massey Cir, Colorado Springs, CO 80920-7127 | 2006-10-24 |
| 1255425831 | Cynthea I Blake | Psychiatry & Neurology | 3010 N. Circle Drive Suite 120, Colorado Springs, CO 80209 | 2006-10-03 |
| 1700994423 | Lawrence C Wang | Psychiatry & Neurology | 3245 International Cir Ste 103, Colorado Springs, CO 80910-3152 | 2006-08-25 |
| 1518992155 | Thomas E. Bowser Md Pllc | Psychiatry & Neurology | 8540 Scarborough Drive Ste 390, Colorado Springs, CO 80920-7519 | 2006-07-12 |
| 1356399448 | Kevin R Scott | Psychiatry & Neurology | 1400 E Boulder St Ste 700, Colorado Springs, CO 80909-5533 | 2006-05-04 |
| 1598755092 | Christopher Steven Williams | Psychiatry & Neurology | 1725 E Boulder St Ste 101, Colorado Springs, CO 80909-5740 | 2005-10-26 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80907 |
Please comment or provide details below to improve the information on MRS. KIMBERLY LUE WAGNER.
| 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.