Marchel Janene Waldburger

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

765 Indian Trails Rd
Gardnerville, NV 89460

Phone

(775) 781-7240

NPI assigned

Jan 19, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1104197474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 INDIAN TRAILS RD",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "89460",
            "telephone_number": "775-781-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 INDIAN TRAILS RD",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "89460",
            "telephone_number": "775-781-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDBURGER",
        "first_name": "MARCHEL",
        "middle_name": "JANENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vision Consultants
• Vision Consultants
• Vitality for Life
• Anne Vondruska, LMT
• Wal-Mart Stores Inc
• Walgreen Co
• Walgreens
• Walmart Inc.
• Washoe Barton Medical Clinic a Nevada Nonprofit Corporation
• Washoe Barton Medical Clinic a Nevada Nonprofit Corporation

• All providers in Gardnerville, NV
• Case Manager/Care Coordinator in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.