Zachery Wagester, BS, CMHP, QMHP, QIDP

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

G3169 Beecher Rd
Flint, MI 48532-3611

Phone

(810) 237-0799

NPI assigned

Sep 16, 2020

Sex

Male

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

Credentials

Bachelor of Science

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1346856267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G3169 BEECHER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323611",
            "telephone_number": "810-237-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3169 BEECHER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323611",
            "telephone_number": "810-237-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGESTER",
        "first_name": "ZACHERY",
        "credential": "BS, CMHP, QMHP, QIDP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Waddell
• Kendra Marie Wade, DPT
• Frazer A Wadenstorer, M.D.
• Celia Rae Wagenberg
• Patricia Wagenhofer
• Britt Elisia Wagner, L.L.P.
• James W. Wagner, M.D.
• Jayme Gene Wagner
• Lisa Louise Wagner, MA, CCC-A
• Megan Wagner

• Case Manager/Care Coordinator in Flint, MI
• Providers in Flint, MI by specialty
• Case Manager/Care Coordinator in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.