Individual provider Active NPI

Catherine A Wagner, CPNP

  • Pediatric Nurse Practitioner
  • Strongsville, OH
National Provider Identifier
1942554696
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN.CNP.023324 Issued in OH
Practice address
18181 Pearl Rd
Strongsville, OH 44136
Phone
(440) 816-4950
NPI assigned
Nov 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X APRN.CNP.023324 OH Primary

Addresses

Primary practice location

18181 Pearl Rd
Strongsville, OH 44136

Mailing address

18181 Pearl Rd
Strongsville, OH 44136-6949

Other practice location 1

2305 Green Valley Rd
New Albany, IN 47150-4691
Phone (812) 949-0405

Other practice location 2

5901 E Royalton Rd # 2100
Broadview Heights, OH 44147-3532
Phone (440) 526-8222

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address e@glhs.allscriptsdirect.net
Direct Messaging Address e@glhs.allscriptsdirect.net
Direct Messaging Address catherinewagner@glhs.allscriptsdirect.net
Direct Messaging Address catherinewagner@glhs.allscriptsdirect.net

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
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.023324OHMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nassim and Associates, PSC Past Accepting new patients
University Primary Care Practices Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cwagner28211@ehrdirect.uhhospitals.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1942554696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18181 PEARL RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441366949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18181 PEARL RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "44136",
            "telephone_number": "440-816-4950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2305 Green Valley Rd",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471504691",
            "country_code": "US",
            "telephone_number": "812-949-0405",
            "fax_number": "812-949-0445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5901 E Royalton Rd # 2100",
            "address_purpose": "LOCATION",
            "city": "Broadview Heights",
            "state": "OH",
            "postal_code": "441473532",
            "country_code": "US",
            "telephone_number": "440-526-8222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "CATHERINE",
        "middle_name": "A",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-02",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "APRN.CNP.023324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "e@glhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "5901 E Royalton Rd # 2100",
            "city": "Broadview Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441473532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "e@glhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "18181 Pearl Rd",
            "city": "Strongsville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "catherinewagner@glhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "18181 Pearl Rd",
            "city": "Strongsville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "catherinewagner@glhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "5901 E Royalton Rd # 2100",
            "city": "Broadview Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441473532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Strongsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.

Verify at the official NPI Registry.