IndividualActive
Kimberlee Wagner, LVN
NPI 1093163784 · Licensed Vocational Nurse · Van Nuys, CA
Kimberlee Wagner, LVN is a Licensed Vocational Nurse provider in Van Nuys, CA (NPI 1093163784).
Provider details
- NPI number
- 1093163784
- Entity type
- Individual
- Primary specialty
- Licensed Vocational NurseNursing Service Providers
- Credential
- LVN
- Sex
- Female
- Sole proprietor
- Yes
- License
- VN 271004 (CA)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16360 Roscoe Blvd
2nd Floor
Van Nuys, CA 91406-1219
Phone: (818) 901-4830
Street-level locationGet directions
Mailing address
18115 Andrea Cir N
Northridge, CA 91325-1161
Registry dates
- Enumerated
- 2016-06-02
- Last updated
- 2016-06-02
Frequently asked questions
- What is Kimberlee Wagner's NPI number?
- Kimberlee Wagner's National Provider Identifier (NPI) is 1093163784, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberlee Wagner's specialty?
- Kimberlee Wagner is listed in the NPPES registry with a primary specialty of Licensed Vocational Nurse (Nursing Service Providers).
- Where is Kimberlee Wagner located?
- Kimberlee Wagner's practice location on file with NPPES is 16360 Roscoe Blvd, Van Nuys, CA 91406-1219.
- What is Kimberlee Wagner's phone number?
- The practice phone number listed in the NPPES registry for Kimberlee Wagner is (818) 901-4830.
- Is Kimberlee Wagner's NPI active?
- Yes — Kimberlee Wagner's NPI (1093163784) is active in the NPPES registry as of the last update on 2016-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.