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SAMANTHA WAGNER RN
NPI 1356126957
Registered Nurse - Psychiatric/Mental Health in Thornton, CO

Active since August 30, 2023
621 W 96TH AVE, THORNTON, CO 80260(303) 427-1386 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 3, 2024, Aug 30, 2023 (2 updates tracked since 2023).

About Samantha Wagner Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA WAGNER RN (NPI 1356126957) is an individual psychiatric/mental health provider in Thornton, Colorado, licensed in Colorado (1676795) and active in the NPI registry since August 2023. She maintains a secondary practice location in Commerce City.

NPPES Registry Identity

NPI1356126957
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameSAMANTHA WAGNERCredential: RN
Location Address621 W 96TH AVEThornton, CO 80260-5469
Mailing Address1870 W 122nd Ave Ste 100Westminster, CO 80234-2075
Phone(303) 427-1386
Sole ProprietorNo
Enumeration DateAugust 30, 2023
Last NPPES UpdateApril 3, 20242 updates tracked since enumeration
NPPES CertifiedMarch 1, 2024
✔ NPI 1356126957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in CO · 1676795
Also ListedRegistered NurseTaxonomy 163W00000X · License 1676795 (CO)
621 W 96TH AVE, Thornton, CO 80260
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Secondary Practice Location 1

Location 15831 E 74th AveCommerce City, CO 80022-1325 · Phone (720) 889-0461

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS ANNA MARIE CAFFAREL
Counselor
621 W 96TH AVE
THORNTON, CO 80260
Adams County (303) 427-1386
AMY B KILLINGSWORTH LCSW
Social Worker (Clinical)
621 W 96TH AVE
THORNTON, CO 80260
Adams County (303) 853-3500
MR. CHARLES T O'NEILL BA
Counselor (Mental Health)
621 W 96TH AVE
THORNTON, CO 80260
Adams County (303) 427-1386
MS. MARGARET LEIGH CHANCELLOR B.S., CACIII
Counselor (Addiction (Substance Use Disorder))
621 W 96TH AVE
THORNTON, CO 80260
Adams County (303) 427-1386
VICTORIA SUZANNE MILLER
Counselor (Addiction (Substance Use Disorder))
621 W 96TH AVE
THORNTON, CO 80260
Adams County (303) 427-1386
KEZIA LEE FISHER MA
Social Worker (Clinical)
621 W 96TH AVE
THORNTON, CO 80260
Adams County (303) 853-3500
MR. ROYCE MARTIN GERBITZ B.A.
Counselor
621 W 96TH AVE
THORNTON, CO 80260
Adams County (303) 427-1386
MR. ELIOT MINICHIELLO B.A.
Counselor (Mental Health)
621 W 96TH AVE, HURON HOUSE
THORNTON, CO 80260
Adams County (303) 427-1386

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Wagner's NPI number?

The NPI number for Samantha Wagner is 1356126957. It was assigned to this individual provider in the NPPES registry on August 30, 2023.

Where is Samantha Wagner located?

Samantha Wagner practices at 621 W 96th Ave, Thornton, CO 80260. The listed phone number is (303) 427-1386.

What is Samantha Wagner's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

When was this NPI record last updated?

The NPPES record for Samantha Wagner was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.