Active NPI
Leona Wagner, RN CNMW
- Advanced Practice Midwife
- Cookeville, TN
National Provider Identifier
1659447613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- APN0000005955
- Practice address
- 1080 Neal St
Ste 200 Womens Health Services
Cookeville, TN 38501 - Phone
- (931) 520-1529
- Fax
- (931) 372-2751
- NPI assigned
- Nov 28, 2006
- Last updated
- Jun 6, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | APN0000005955 | TN | Primary |
| Registered Nurse | 163W00000X | RN0000066645 | TN |
Addresses
Primary practice location
1080 Neal St
Ste 200 Womens Health Services
Cookeville, TN 38501
Mailing address
1080 Neal St
Ste 200 Womens Health Services
Cookeville, TN 38501
Phone (931) 520-1529
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0000066645 | TN | MD | Registered Nurse |
| 5955 | TN | MD | Rheumatology Physician |
| APN0000005955 | TN | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212710400000",
"number": "1659447613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1080 NEAL ST",
"address_2": "STE 200 WOMENS HEALTH SERVICES",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "38501",
"telephone_number": "931-520-1529",
"fax_number": "931-372-2751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1080 NEAL ST",
"address_2": "STE 200 WOMENS HEALTH SERVICES",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "38501",
"telephone_number": "931-520-1529",
"fax_number": "931-372-2751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "LEONA",
"credential": "RN CNMW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2008-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "TN",
"license": "APN0000005955",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "RN0000066645",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cookeville, TN
- Volunteer Medical Group, P.C.
- Rhiannon Michelle Voss
- Louis Frederick Vossel Jr., M.D.
- Brian S Waggoner, MD
- Emily Wagner, RBT
- Rachel Marie Wakefield, OD
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0657)
- Wal-Mart Stores East LP (Walmart Pharmacy 10-5175)
- Wal-Mart Stores East, LP (Vision Center 30-5175)
- Wal-Mart Stores East, LP (Vision Center 30-0657)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.