Maria Luisa Gussak, ND

Primary specialty

Integrative Medicine PhysicianTaxonomy code 202D00000X

License

61107677 Issued in WA

Practice address

5 S Wenatchee Ave Ste 301
Wenatchee, WA 98801-2295

Phone

(509) 537-3660

Fax

(833) 390-1316

NPI assigned

Sep 18, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1124634753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 S WENATCHEE AVE STE 301",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012295",
            "telephone_number": "509-537-3660",
            "fax_number": "833-390-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 S WENATCHEE AVE STE 301",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012295",
            "telephone_number": "509-537-3660",
            "fax_number": "833-390-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSSAK",
        "first_name": "MARIA",
        "middle_name": "LUISA",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "WA",
            "license": "61107677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Integrative Medicine Physician in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Integrative Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.