Deborah C Wagner, CNM, MSN

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

4704118834 Issued in MI

Practice address

4201 Saint Antoine St
Detroit, MI 48201-2153

Phone

(313) 745-4380

NPI assigned

Jun 7, 2006

Last updated

Dec 8, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Master of Science - Nursing

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• City of Detroit

  dba Detroit Health Department

  • Public Health or Welfare Agency
  • Detroit, MI
  • NPI 1033429394
  NPD (past)
• McLaren Medical Group

  • Advanced Practice Midwife
  • Burton, MI
  • NPI 1114066693
  NPD (past)
• University Women's Care, Inc

  • Obstetrics & Gynecology Physician
  • Detroit, MI
  • NPI 1780623637
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1184664062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 E. MAPLE RD.",
            "address_2": "SUITE 400-CREDENTIALING",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831138",
            "telephone_number": "248-581-5970",
            "fax_number": "248-581-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-745-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "DEBORAH",
        "middle_name": "C",
        "credential": "CNM, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MI",
            "license": "4704118834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaelle Wafer, CHW
• Raechel Wafford
• Jayyid Ahmad Wafiy
• Judith Lynn Wagensomer, PA-C
• Michelle Wagner-Smith, MSN, AGPCNP-BC
• Lianne Rose Wagner, DO
• Nathan Vincent Wagstaff, MD
• Muhammad Abdul-Aziz Waheed, MD
• Asra Wahid
• Sytoria Wahid

• Advanced Practice Midwife in Detroit, MI
• Providers in Detroit, MI by specialty
• Advanced Practice Midwife in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.