Olivia Wageman

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

12015 E 46TH Ave Ste 680
Denver, CO 80239-3158

Phone

(303) 945-7063

Fax

(855) 568-2494

NPI assigned

May 24, 2023

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)

Not enrolled

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1194417352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12015 E 46TH AVE STE 680",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802393158",
            "telephone_number": "303-945-7063",
            "fax_number": "855-568-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12015 E 46TH AVE STE 680",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802393158",
            "telephone_number": "303-945-7063",
            "fax_number": "855-568-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGEMAN",
        "first_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Ann Wadsworth, M.D.
• Hana Wadsworth, D.C.
• Susan M Wadsworth, R.N.
• Kelly Waechter
• Phyllis Wagar, FNP-C
• Wagg, Inc.
• Clyde E Waggoner, DMD
• Colleen Waggoner, FNP
• George Andrew Waggoner, CSFA
• Jeffrey Lynn Wagnaar, P.T.

• Behavior Technician in Denver, CO
• Providers in Denver, CO by specialty
• Behavior Technician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.