Active NPI
Sheryl Ann Wagner, N.D.
- Naturopath
- Vancouver, WA
National Provider Identifier
1902055957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- NT60024776
- Practice address
- 1612 NE 78TH St
Vancouver, WA 98665-9635 - Phone
- (360) 433-2727
- Fax
- (503) 200-1420
- NPI assigned
- Sep 15, 2008
- Last updated
- Sep 3, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | NT60024776 | WA | Primary |
| General Practice Physician | 208D00000X | NT60024776 | WA |
Addresses
Primary practice location
1612 NE 78TH St
Vancouver, WA 98665-9635
Mailing address
1612 NE 78TH St
Vancouver, WA 98665-9635
Phone (360) 433-2727
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NT60024776 | WA | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natural Choice Health Care | Naturopath | Past | Accepting new patients |
| Natural Choice Chiropractic LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Vancouver, WA
- NPI 1760517973
-
- Naturopath
- Vancouver, WA
- NPI 1568487270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1902055957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 NE 78TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986659635",
"telephone_number": "360-433-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1612 NE 78TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986659635",
"telephone_number": "360-433-2727",
"fax_number": "503-200-1420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "SHERYL",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "N.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-15",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "WA",
"license": "NT60024776",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "WA",
"license": "NT60024776",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.