Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bonnie K Wagner, MS/CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1942840277

Bonnie K Wagner, MS/CCC-SLP is a Qualified Speech Language Pathologist in Nashville, Tennessee. Graduated from University of Louisville School of Medicine in 2004, 22 years ago. Practices with Select Physical Therapy Holdings Inc, a 2,121-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
22
Trained at
University of Louisville School of Medicine
Licensed in
TN
In the registry since
2020
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Practice location Address checks out

1501 12th Ave S
Nashville, TN 37203-4909
Phone: (615) 933-0070
Fax: (615) 383-9489
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 3246 (TN)

Record details

NPI number1942840277
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS/CCC-SLP
Sole proprietorNo
NPI enumeratedJanuary 15, 2020
Last updated in NPPESJanuary 15, 2020
Certification dateJanuary 15, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Select Physical Therapy Holdings Inc — 2121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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