Diane Penny Wagner-Heffner, MA

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1810 Timber TRL
Ann Arbor, MI 48103-2392

Phone

(734) 355-3899

Fax

(734) 222-1877

NPI assigned

Aug 28, 2008

Last updated

Aug 28, 2008By the provider in NPPES

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

Credentials

Master of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Home and Community Recreation Therapy

  • Recreation Therapist
  • Ann Arbor, MI
  • NPI 1992058424
  NPD (past) Authorized official

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1760630149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 TIMBER TRL",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032392",
            "telephone_number": "734-355-3899",
            "fax_number": "734-222-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 TIMBER TRL",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032392",
            "telephone_number": "734-355-3899",
            "fax_number": "734-222-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER-HEFFNER",
        "first_name": "DIANE",
        "middle_name": "PENNY",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Wade, LLMSW
• Fanta Wafer
• Ryan Lucas Wagenschutz, CRNA
• Matthew A Waggoner, P.A.-C.
• Joleen Ann Wagner-Felkey, MSW
• Ashley Wagner, LMSW
• Benjamin Robert Wagner, MD
• Brandon Wagner
• Catherine Michelle Wagner, MD
• Christine Carol Wagner, NP

• Case Manager/Care Coordinator in Ann Arbor, MI
• Providers in Ann Arbor, 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 Aug 28, 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.

Verify at the official NPI Registry.