Active NPI
Nathalia Lima Wagner, DC
- Chiropractor
- Seneca Falls, NY
National Provider Identifier
1740805985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X013367-01
- Practice address
- 138 State St
Seneca Falls, NY 13148-1122 - Phone
- (407) 460-0025
- NPI assigned
- Jun 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X013367-01 | NY | Primary |
Addresses
Primary practice location
138 State St
Seneca Falls, NY 13148-1122
Mailing address
138 State St
Seneca Falls, NY 13148-1122
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X013367-01 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592006400000",
"number": "1740805985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 STATE ST",
"city": "SENECA FALLS",
"state": "NY",
"postal_code": "131481122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 STATE ST",
"city": "SENECA FALLS",
"state": "NY",
"postal_code": "131481122",
"telephone_number": "407-460-0025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "NATHALIA",
"middle_name": "LIMA",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-13",
"last_updated": "2020-06-13",
"certification_date": "2020-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X013367-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seneca Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.