Martha E Wagner, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

204481 Issued in NC

Practice address

923 Broad St
Durham, NC 27705-4141

Phone

(919) 475-9983

NPI assigned

Feb 27, 2007

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

Other names 1

• Marti Wagner Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821125691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CYPRESS CREEK CIR",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346772009",
            "telephone_number": "919-475-9983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 BROAD ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054141",
            "telephone_number": "919-475-9983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "MARTHA",
        "middle_name": "E",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NC",
            "license": "204481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTI",
            "last_name": "WAGNER",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Adrienne P Wagenblast, RN MS CDE
• Anushri Kushwaha Wagner, DO
• Jacob Lewis Wagner, DO
• Lia Wagner
• Marcella Wagner, LCSW
• Sheenagh Lopez Wagner
• Lorraine L Waguespack, F.N.P.
• Kerri Margret Wahl, M.D.
• Karen Mary Wahle
• Caitlin Waibel, COTA

• Psychiatric/Mental Health Registered Nurse in Durham, NC
• Providers in Durham, NC by specialty
• Psychiatric/Mental Health Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.