JULIA WAGNER (NPI# 1982258687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982258687 |
| Entity Type | Individual |
| Full Name | JULIA WAGNER |
| Credential | FNP-C |
| Practice Address |
12266 Depaul Drive Suite 100 Bridgeton MO 63044 |
| Mailing Address |
Po Box 955534 Saint Louis MO 63195-2551 |
| Practice Telephone | 3147382770 |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2019023257 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326445602 | Julia Marie Wagner | Chiropractor | 3778 Union St, Lafayette, IN 47905-4453 | 2014-12-02 |
| 1922322858 | Julia A Wagner | Counselor | 1490 University Blvd, Hamilton, OH 45011-3305 | 2010-03-22 |
| 1346423423 | Julia Marie Wagner | Registered Nurse | 1055 Clermont St, Denver, CO 80220-3808 | 2007-12-11 |
| 1659584936 | Julia Wagner | Nurse's Aide | 415 N State of Franklin Rd, Johnson City, TN 37604-6034 | 2007-05-07 |
| Street Address |
12266 DEPAUL DRIVE SUITE 100 |
| City | BRIDGETON |
| State | MO |
| Zip Code | 63044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548252000 | Angela Cartwright | Obstetrics & Gynecology | 12266 Depaul Drive, Suite 200, Bridgeton, MO 63044 | 2005-08-19 |
| 1508301565 | Richard Johnson | Pharmacist | 12266 Depaul Drive, Suite 105, Bridgeton, MO 63044 | 2016-12-30 |
| 1043760259 | Anne Marie Phillips | Nurse Practitioner | 12266 Depaul Drive, Suite 100, Bridgeton, MO 63044 | 2016-10-12 |
| 1689042467 | Kevin D. Burgdorf Dds LLC | Dentist | 12266 Depaul Drive, Suite 325, Bridgeton, MO 63044-2514 | 2015-09-10 |
| 1780077172 | Kimberly Anno | Nurse Practitioner | 12266 Depaul Drive, Suite 200, Bridgeton, MO 63044 | 2015-03-10 |
| 1174962922 | Ssm Depaul Medical Group | Orthopaedic Surgery | 12266 Depaul Drive, Suite 110, Bridgeton, MO 63044-2514 | 2013-06-14 |
| 1609131663 | Seth Hepner | Internal Medicine | 12266 Depaul Drive, Bridgeton, MO 63044 | 2012-07-05 |
| 1942596002 | Physicians' Ambulatory Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 12266 Depaul Drive, Bridgeton, MO 63044-2514 | 2011-06-27 |
| 1033427257 | Patricia Bozzi | Specialist | 12266 Depaul Drive, Suite 115, Bridgeton, MO 63044 | 2010-09-22 |
| 1598072613 | Emily Terese Britt | Physical Therapist | 12266 Depaul Drive, Suite 115, Bridgeton, MO 63044 | 2010-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073150017 | Zoe Marie Wadsworth | Nurse Practitioner | 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 | 2019-12-10 |
| 1609412451 | Beyond Better, Best Home Health Care Services, Limited Liability Corpo | In Home Supportive Care | 3430 Mckelvey Road Ste B, Bridgeton, MO 63044 | 2019-11-26 |
| 1275189078 | Delicate Angels Home Health LLC | Home Health | 11726 St. Charles Rock Road Suite G, Bridgeton, MO 63044 | 2019-08-16 |
| 1588210082 | Nicholas Huber | Physical Therapist | 12349 Depaul Dr., Ste. 110, Bridgeton, MO 63044 | 2019-08-12 |
| 1124688858 | Michelle Bassett | Registered Nurse | 11520 St. Charles Rock Rd., Suite 106, Bridgeton, MO 63044 | 2019-06-14 |
| 1336703883 | Elena A Barrow | Nurse Practitioner | 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 | 2019-04-30 |
| 1487123105 | Laura N Steiner | Registered Nurse | Gateway Pediatrics, Ltd, 12255 Depaul Drive, Suite 460 North Medical Building, Bridgeton, MO 63044 | 2018-11-26 |
| 1205310950 | Danielle Mathis | Nurse Practitioner | 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 | 2018-09-19 |
| 1588163570 | Thoughts Out Loud Counseling, LLC | Social Worker | 11520 St. Charles Rock Road Suite 101, Bridgeton, MO 63044 | 2018-02-06 |
| 1912411430 | Breanna Victoria Hayes | Counselor | 3165 Mckevley Road, Suite 200, Bridgeton, MO 63044 | 2017-11-20 |
| Find all providers in zip 63044 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336703883 | Elena A Barrow | Nurse Practitioner | 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 | 2019-04-30 |
| 1144789751 | Emily Christine Machens | Nurse Practitioner | 12266 De Paul Dr Ste 315, Bridgeton, MO 63044-2514 | 2019-03-14 |
| 1205310950 | Danielle Mathis | Nurse Practitioner | 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 | 2018-09-19 |
| 1134635022 | Alice Q Torregosa | Nurse Practitioner | 4014 Avery Ln, Bridgeton, MO 63044-2101 | 2017-12-14 |
| 1326462854 | Melody D Randle | Nurse Practitioner | 53 S. Laurel Street 2nd Floor, Bridgeton, NJ 08302 | 2014-02-04 |
| 1568890887 | Lee Ann Summers | Nurse Practitioner | 12255 Depaul Drive Suite 200, Bridgeton, MO 63044 | 2013-10-23 |
| 1316286248 | Donna M Hall | Nurse Practitioner | 12255 De Paul Dr Ste 700, Bridgeton, MO 63044 | 2013-02-13 |
| 1447588611 | Rosemarie Stag | Nurse Practitioner | 53 S Laurel St Fl 2, Bridgeton, NJ 08302-1946 | 2009-11-30 |
| 1043229883 | Diane M Burt | Nurse Practitioner | 265 Irving Ave, Bridgeton, NJ 08302-2121 | 2006-08-07 |
| 1841235256 | Sherrie Renee Colaneri-day | Nurse Practitioner | 700 North Pearl Street, Bridgeton, NJ 08302 | 2006-06-19 |
| Find all providers in BRIDGETON | ||||
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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.