Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720774177 Individual Practitioner Male Practitioner

Zackery Robert Wagner

Nurse's Aide • Enumclaw, WA

Professional Overview & Biography Verified Profile Summary

Zackery Wagner is a registered healthcare professional specializing in Nurse's Aide in Enumclaw, WA. Practice services are available at 2323 JENSEN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2323 Jensen St

Enumclaw, WA 980223605

Telephone 3608252541
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse's Aide in Enumclaw, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Enumclaw, WA (825 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-04-17
Nurse's Aide Primary Specialty

NUCC Taxonomy Code: 376K00000X

State License WA NA61270089

(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Jamie Kunz

Speech-Language Pathologist

NPI 1073033106
Rebecca Pettit

Skilled Nursing Facility

NPI 1144465659
Kelly Sennott , COTA

Occupational Therapy Assistant

NPI 1154021327

Certified Occupational Therapy Assistant

Sarah Ladderud , MSOT

Occupational Therapist - Physical Rehabilitation

NPI 1295226538
Ruth Allen , COTA

Clinic/Center - Physical Therapy

NPI 1366700403

Certified Occupational Therapy Assistant

Julia Ayers , PT

Physical Therapist

NPI 1407117104

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 17, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location April 17, 2023

Registered at 2323 JENSEN ST, ENUMCLAW, WA 980223605 (Tel: 3608252541)

📍
Updated Business Mailing Address April 17, 2023

Registered at PO BOX 1287, BUCKLEY, WA 983211287 (Tel: 3607619516)

👤
Provider Name / Credentials Updated April 17, 2023

Recorded as ZACKERY WAGNER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2023

Nurse's Aide (License #NA61270089 in WA)

🟢
Initial NPI Registration & Enumeration April 17, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720774177
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2023
Last Update: April 17, 2023
Sole Proprietor: No

Mailing Address

Po Box 1287

Buckley, WA 983211287

Phone: 3607619516

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.