Sandra L Wachter, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

4704075363 Issued in MI

Practice address

580 W College Ave
Marquette, MI 49855-2705

Phone

(906) 225-3406

Fax

(906) 225-3094

NPI assigned

Nov 15, 2005

Last updated

Apr 29, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DLP Marquette General Hospital LLC

  dba UP Health System Marquette

  • Certified Registered Nurse Anesthetist
  • Marquette, MI
  • NPI 1841541695

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Marquette General Hospital, Inc.

  • Certified Registered Nurse Anesthetist
  • Marquette, MI
  • NPI 1639332455

  Nurse Anesthetist, Certified Registered

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1013999200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 SURREY LN",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498559383",
            "telephone_number": "906-249-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 W COLLEGE AVE",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552705",
            "telephone_number": "906-225-3406",
            "fax_number": "906-225-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHTER",
        "first_name": "SANDRA",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704075363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD PIN",
            "identifier": "SW075363",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "430024329",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101599640",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Mark Viau, M.D.
• Vibrant Health Company
• Ruffa Villota
• Coralie Voce, LBSW,CADC-M
• Nathan Wachsmuth
• Jeannie Chien Wagner, P.T.
• Susanna Bernier Wahlstrom, FNP
• Brian G Waite, MD
• Wal-Mart Stores East LP (Walmart Pharmacy 10-2079)
• Wal-Mart Stores East, LP (Vision Center 30-2079)

• Certified Registered Nurse Anesthetist in Marquette, MI
• Providers in Marquette, MI by specialty
• Certified Registered Nurse Anesthetist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.