KRISTIN JO WAGNER (NPI# 1992879092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992879092 |
Entity Type | Individual |
Full Name | KRISTIN JO WAGNER |
Practice Address |
3919 N Maple St Spokane WA 99205-1349 |
Mailing Address |
35925 N Pike Rd Deer Park WA 99006-9147 |
Practice Telephone | 5094448888 |
Practice Fax Number | 5094447810 |
Mailing Telephone | 5092928398 |
Enumeration Date | 2006-11-20 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | PH00020076 | WA | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952743924 | Kristin Wagner | Physician Assistant | 2200 W. Eau Gallie Blvd., Suite 202c, Melbourne, FL 32935-3166 | 2013-07-19 |
1205105624 | Kristin Diane Wagner | Nurse Practitioner | 915 W Maple, Columbus, KS 66725 | 2011-12-14 |
1457654808 | Kristin M Wagner | Counselor | 1461 Hickory Ct, Erie, CO 80516-7986 | 2010-12-07 |
1558903468 | Kristin Wagner | Social Worker | 10630 Little Patuxent Pkwy Ste 209, Columbia, MD 21044-6278 | 2019-10-11 |
1518440890 | Kristin Nicole Wagner | Social Worker | 2021 Saint Marys Ave, Omaha, NE 68102-2415 | 2018-09-12 |
1205316676 | Kristin Wagner | Speech-Language Pathologist | 2499 Zerbe Rd, Narvon, PA 17555-9328 | 2018-08-15 |
1528480274 | Kristin Behrens Wagner | Counselor | 940 E Haverford Rd, Suite 102, Bryn Mawr, PA 19010-3845 | 2014-01-15 |
1053674945 | Kristin L Wagner | Nurse Practitioner | 1729 Burrstone Rd, New Hartford, NY 13413-1001 | 2012-06-17 |
1992096812 | Kristin St. Laurent Wagner | Counselor | 225 N 23rd St, Billings, MT 59101-2223 | 2011-04-26 |
1063699056 | Kristin Michelle Wagner | Social Worker | 2540 Charleston St, Oakland, CA 94602-2508 | 2008-01-22 |
Street Address |
3919 N MAPLE ST |
City | SPOKANE |
State | WA |
Zip Code | 99205-1349 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114929932 | Monica Blykowski-may | Family Medicine | 3919 N Maple St, Spokane, WA 99205 | 2005-08-11 |
1386256048 | Allison Marie Pettersen | Pharmacist | 3919 N Maple St, Spokane, WA 99205-1349 | 2020-08-23 |
1942835640 | Patrick Jerome Bennett | Registered Nurse | 3919 N Maple St, Spokane, WA 99205-1349 | 2020-03-03 |
1407488778 | Alexis Houser | Registered Nurse | 3919 N Maple St, Spokane, WA 99205-1349 | 2020-02-05 |
1932747565 | Tabitha Jo Al Spedding | Registered Nurse | 3919 N Maple St, Spokane, WA 99205-1349 | 2019-12-13 |
1336784628 | Katie Halleran Sullivan | Nurse Practitioner | 3919 N Maple St, Spokane, WA 99205-1349 | 2019-11-11 |
1174166565 | Community Health Association of Spokane | Pharmacy | 3919 N Maple St, Spokane, WA 99205-1349 | 2019-10-18 |
1629619754 | Irina Ivan Ialanji | Dental Hygienist | 3919 N Maple St, Spokane, WA 99205-1349 | 2019-09-30 |
1043864390 | Tori Morgan Anderson | Dental Hygienist | 3919 N Maple St, Spokane, WA 99205-1349 | 2019-07-25 |
1366095754 | Marcy Rene Pacheco | Family Medicine | 3919 N Maple St, Spokane, WA 99205-1349 | 2019-07-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275027740 | Jill Sanders | Behavior Technician | 1104 West Wellesley, Spokane, Wa, United States, Ste D, Spokane, WA 99205 | 2018-06-19 |
1265981997 | Lorraine Jeanette Diricco | Registered Nurse | 1717 W Francis Ave Ste 204, Spokane, WA 99205 | 2016-09-22 |
1992156749 | Dane Sultzer | Optometrist | 1123 W Fairview Ave, Spokane, WA 99205 | 2016-06-23 |
1770975864 | Trevor George | Naturopath | 3710 N Monroe, Spokane, WA 99205 | 2015-02-26 |
1003246661 | Rita Y Flanagan | Psychologist | 4815 N Assembly St, Room B256, Spokane Va Medical Center, Spokane, WA 99205 | 2013-11-19 |
1649616277 | Mary Anyango Okello | Nurse's Aide | 3614 W. Wellesley Ave, Spokane, WA 99205 | 2013-05-22 |
1710242367 | Amy Clement | Dentist | 4815 N Assembly St., Spokane, WA 99205 | 2012-07-10 |
1114202082 | Teresa J Stella | Pharmacist | 3919 N. Maple St., Spokane, WA 99205 | 2011-10-11 |
1184905218 | James Anthony Carnell | Dentist | 4610 N. Ash St., (suite 204), Spokane, WA 99205 | 2011-09-02 |
1508150632 | Jennifer Leigh Knuston | Social Worker | 207 W Nora Ave, Spokane, WA 99205 | 2011-06-06 |
Find all providers in zip 99205 |
Taxonomy Code | 183500000X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720695372 | Vi Thuy-thi Tran | Pharmacist | 112 N Howard St Ste 115, Spokane, WA 99201-0656 | 2020-09-28 |
1518578418 | Cody James Damman | Pharmacist | 716 S Arthur St Apt 17, Spokane, WA 99202-2492 | 2020-08-13 |
1326659764 | Stephanie Vo | Pharmacist | 940 N Ruby St, Spokane, WA 99202-1711 | 2020-08-10 |
1376154716 | Diana Kang | Pharmacist | 3404 S Regal St Apt 27, Spokane, WA 99223-4668 | 2020-08-10 |
1588214613 | Christopher Morine | Pharmacist | 4817 N Howard St, Spokane, WA 99205-5603 | 2019-09-20 |
1982250957 | Megan Elizabeth Dibenedetto | Pharmacist | 105 West 8th Avenue, 350e, Spokane, WA 99204 | 2019-08-14 |
1992359301 | Jennifer Pelzel | Pharmacist | Pbs, 205 E Spokane Falls Blvd, Spokane, WA 99202 | 2019-07-25 |
1386296382 | Sara Elizabeth Puchalla | Pharmacist | 105 W 8th Ave Ste 305e, Spokane, WA 99204-2302 | 2019-07-10 |
1801458955 | Kay Guillory | Pharmacist | 1905 W Bridge Ave, Spokane, WA 99201-1710 | 2019-06-28 |
1336617877 | Jessica Belben | Pharmacist | 122 W 7th Ave Ste 223, Spokane, WA 99204-2349 | 2018-11-02 |
Find all providers in SPOKANE |
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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.