Marie Adella Zumwalt

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

27180 Issued in WY

Practice address

2723 Christensen Rd
Cheyenne, WY 82007-9662

Phone

(747) 204-6096

NPI assigned

Oct 21, 2024

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1215758487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7076 ROAD 55F",
            "city": "TORRINGTON",
            "state": "WY",
            "postal_code": "822407771",
            "telephone_number": "307-532-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2723 CHRISTENSEN RD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820079662",
            "telephone_number": "747-204-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUMWALT",
        "first_name": "MARIE",
        "middle_name": "ADELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "27180",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "WY",
            "license": "27180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Hugh Zofcin
• Elenora Kay Zuber
• Ruby Lynn Zubrod, CCC A
• Susan L Zukauckas
• Thomas J Zumo, D.D.S.
• Kasadee Ann Zunker, RN
• Nicholas Zwarton III

• Critical Care Medicine Registered Nurse in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Critical Care Medicine Registered Nurse in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.