ZACKERY ROBERT WAGNER
NPI 1720774177
Nurse's Aide in Enumclaw, WA

Active since April 17, 2023
2323 JENSEN ST, ENUMCLAW, WA 98022(360) 825-2541 Get Directions Write a Review

NPPES record last updated: April 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Zackery Robert Wagner NPPES

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

ZACKERY ROBERT WAGNER (NPI 1720774177) is an individual nurse's aide in Enumclaw, Washington, licensed in Washington (NA61270089) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1720774177
Entity TypeIndividualMale
Primary Taxonomy376K00000X
Provider Legal NameZACKERY ROBERT WAGNER
Location Address2323 JENSEN STEnumclaw, WA 98022-3605
Mailing AddressPo Box 1287Buckley, WA 98321-1287 · (360) 761-9516
Sole ProprietorNo
Enumeration DateApril 17, 2023
NPPES CertifiedApril 17, 2023
NPI 1720774177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse's AideNursing Service Related Providers
Taxonomy Code376K00000X
License Licensed in WA · NA61270089
Definition
(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.
2323 JENSEN ST, Enumclaw, WA 98022

Other Providers at the Same Location NPPES 14

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

Speech-Language Pathologist
2323 JENSEN ST
ENUMCLAW, WA 98022
Skilled Nursing Facility
2323 JENSEN ST
ENUMCLAW, WA 98022
Occupational Therapy Assistant
2323 JENSEN ST
ENUMCLAW, WA 98022
Occupational Therapist (Physical Rehabilitation)
2323 JENSEN ST
ENUMCLAW, WA 98022
Clinic/Center (Physical Therapy)
2323 JENSEN ST
ENUMCLAW, WA 98022
Physical Therapist
2323 JENSEN ST
ENUMCLAW, WA 98022
Licensed Practical Nurse
2323 JENSEN ST, ENUMCLAW, WA 98022
ENUMCLAW, WA 98022
Skilled Nursing Facility
2323 JENSEN ST
ENUMCLAW, WA 98022

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 Zackery Wagner's NPI number?

The NPI number for Zackery Wagner is 1720774177. It was assigned to this individual provider in the NPPES registry on April 17, 2023.

Where is Zackery Wagner located?

Zackery Wagner practices at 2323 Jensen St, Enumclaw, WA 98022. The listed phone number is (360) 825-2541.

What is Zackery Wagner's specialty?

The primary specialty registered for this NPI is Nurse's Aide with taxonomy code 376K00000X.

When was this NPI record last updated?

The NPPES record for Zackery Wagner was last updated on April 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.