Anastasia Wagner

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Practice address

2423 2ND Ave N
Saint Petersburg, FL 33713-8826

Phone

(727) 560-5657

Fax

(727) 321-1975

NPI assigned

May 20, 2014

Sex

Female

Sole proprietor

Yes

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

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.

• Pinellas Day Training Inc

  • Developmentally Disabled Services Day Training Agency
  • Port Richey, FL
  • NPI 1295254662

  Day Training, Developmentally Disabled Services

  NPD Authorized official
• Breakthroughs LLC

  • In Home Supportive Care Agency
  • New Port Richey, FL
  • NPI 1104513498
  NPD

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1689085003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 2ND AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337138826",
            "telephone_number": "727-560-5657",
            "fax_number": "727-321-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 2ND AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337138826",
            "telephone_number": "727-560-5657",
            "fax_number": "727-321-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ANASTASIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Robert Wade
• Hemant Wadhwani, M.D.
• Victoria Waechter, APRN
• Casey Waggett
• Kimberly Ann Wagner-Rohrs, LCSW
• David Michael Wagner, LMHC
• Jessica Leigh Wagner
• Lynda H Wagner, LMHC
• Lynn Zammit Wagner, BCBA
• Daniel Lewis Wagoner, D.O.

• Developmentally Disabled Services Day Training Agency in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.