Ladonna Wagner, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024172214 Issued in VA

Practice address

8569 Sudley Rd Ste B
Manassas, VA 20110-3866

Phone

(703) 257-7749

Fax

(855) 254-4529

NPI assigned

Dec 3, 2014

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

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 and National Provider Directory roles.

• Comprehensive Internal Medicine Associates

  • Internal Medicine Physician
  • Manassas, VA
  • NPI 1770688004
  NPD (past)

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1538566716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8569 SUDLEY RD STE B",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201103866",
            "telephone_number": "703-257-7749",
            "fax_number": "855-254-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8569 SUDLEY RD STE B",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201103866",
            "telephone_number": "703-257-7749",
            "fax_number": "855-254-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "LADONNA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024172214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Ira Vogel, DPM
• Jill Nerone Volles, M.S. CCC-SLP
• Anne Volmert, DPT, PT
• W James Werner MD Family Medicine PLC
• Jacqueline Waddell, OTR/L
• Nathan Wagner, LPC, CSAC
• Rebekah Waisome
• Cassaundra Waite, RN
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1825)
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-3573)

• Family Nurse Practitioner in Manassas, VA
• Providers in Manassas, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.