ALYSSA ROSE WAGNER IBCLC
NPI 1700352143
Registered Nurse - Lactation Consultant in Springfield, OR

Q: What is the provider's specialty?

The provider's specialty is Registered Nurse with taxonomy code 163WL0100X and a focus in Lactation Consultant.

Active since October 23, 2018

353 DEADMOND FERRY RD, SPRINGFIELD, OR 97477(541) 337-4970 Get Directions Write a Review

NPPES record last updated: October 23, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Registered Nurse
Lactation Consultant

About ALYSSA WAGNER

This page provides the complete NPI Profile along with additional information for Alyssa Wagner, a provider established in Springfield, Oregon with a medical specialization in Registered Nurse, focusing in lactation consultant . The healthcare provider is registered in the NPI registry with number 1700352143 assigned on October 2018. The practitioner's primary taxonomy code is 163WL0100X with license number 201140420RN (OR). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI: 1700352143 Verify this NPI
Provider Name: ALYSSA ROSE WAGNER IBCLC
Gender: Female
Entity Type: Individual
Location Address: 353 DEADMOND FERRY RD SPRINGFIELD, OR 97477
Location Phone: (541) 337-4970
Mailing Address: 353 DEADMOND FERRY RD SPRINGFIELD, OR 97477
Mailing Phone: (541) 337-4970
Is Sole Proprietor?: No
Enumeration Date: 10-23-2018
Last Update Date: 10-23-2018
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A registered nurse (RN) like Alyssa Wagner coordinates and provides patient care and educates patients about various health conditions. Registered nurses give advice and emotional support to patients and their families. The typical duties of a registered nurse include: assessing patient conditions, record medical histories and symptoms, observe patients and record the observations, administer medicines and treatments, consult and collaborate with doctors, operate and monitor medical equipment, teach patients and families how to manage injuries or illnesses, etc.

Registered nurses typically work as part of a team with physicians and other healthcare professionals. In some medical teams registered nurses supervise nursing assistants, licensed practical nurses, and home health aides.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Registered Nurse Lactation Consultant
Taxonomy Code: 163WL0100X
Type: Nursing Service Providers
License No.: 201140420RN
License State: OR

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
L-144285	OTHER (01)	OR	IBLCE