Lia Wagner

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

3211 Lassiter St
Durham, NC 27707-3879

Phone

(518) 928-5019

NPI assigned

Aug 19, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1871211326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 LASSITER ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 LASSITER ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073879",
            "telephone_number": "518-928-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "LIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lara Carine Wadi, MD
• Allison Wadleigh, LCMHCA
• Adrienne P Wagenblast, RN MS CDE
• Anushri Kushwaha Wagner, DO
• Jacob Lewis Wagner, DO
• Marcella Wagner, LCSW
• Martha E Wagner, RN
• Sheenagh Lopez Wagner
• Lorraine L Waguespack, F.N.P.
• Kerri Margret Wahl, M.D.

• School Psychologist in Durham, NC
• Providers in Durham, NC by specialty
• School Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.