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

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: August 09, 2026.

About Alyssa Rose Wagner Ibclc NPPES

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

ALYSSA ROSE WAGNER IBCLC (NPI 1700352143) is an individual lactation consultant provider in Springfield, Oregon, licensed in Oregon (201140420RN) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1700352143
Entity TypeIndividualFemale
Primary Taxonomy163WL0100X
Provider Legal NameALYSSA ROSE WAGNERCredential: IBCLC
Location Address353 DEADMOND FERRY RDSpringfield, OR 97477-9406
Mailing Address353 Deadmond Ferry RdSpringfield, OR 97477-9406 · (541) 337-4970
Sole ProprietorNo
Enumeration DateOctober 23, 2018
NPI 1700352143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Lactation ConsultantNursing Service Providers
Taxonomy Code163WL0100X
License Licensed in OR · 201140420RN
353 DEADMOND FERRY RD, Springfield, OR 97477

Other Identifiers 1

OtherL-144285OR · Iblce

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.

Midwife
353 DEADMOND FERRY RD
SPRINGFIELD, OR 97477
Nurse Practitioner (Obstetrics & Gynecology)
353 DEADMOND FERRY RD
SPRINGFIELD, OR 97477
Midwife
353 DEADMOND FERRY RD
SPRINGFIELD, OR 97477
Registered Nurse (Lactation Consultant)
353 DEADMOND FERRY RD
SPRINGFIELD, OR 97477
Advanced Practice Midwife
353 DEADMOND FERRY RD
SPRINGFIELD, OR 97477
Nurse Practitioner (Obstetrics & Gynecology)
353 DEADMOND FERRY RD
SPRINGFIELD, OR 97477
Nurse Practitioner (Obstetrics & Gynecology)
353 DEADMOND FERRY RD
SPRINGFIELD, OR 97477
Registered Nurse (Lactation Consultant)
353 DEADMOND FERRY RD
SPRINGFIELD, OR 97477

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 Alyssa Wagner's NPI number?

The NPI number for Alyssa Wagner is 1700352143. It was assigned to this individual provider in the NPPES registry on October 23, 2018.

Where is Alyssa Wagner located?

Alyssa Wagner practices at 353 Deadmond Ferry Rd, Springfield, OR 97477. The listed phone number is (541) 337-4970.

What is Alyssa Wagner's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Lactation Consultant, with taxonomy code 163WL0100X.

When was this NPI record last updated?

The NPPES record for Alyssa Wagner was last updated on October 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.