Individual provider Active NPI

Margaret Ingrid Wallhagen, RN, GNP, PHD

  • Gerontology Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1245331222
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
181577 Issued in CA
Practice address
2 Koret Way
N631
San Francisco, CA 94143-0610
Phone
(415) 476-4965
Fax
(415) 476-8899
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 181577 CA Primary

Addresses

Primary practice location

2 Koret Way
N631
San Francisco, CA 94143-0610

Mailing address

8 Park Ter
Mill Valley, CA 94941-2945
Phone (415) 383-3440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy, Registered Nurse

State licenses

LicenseStateTypeSpecialty
181577CAMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245331222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 PARK TER",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412945",
            "telephone_number": "415-383-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 KORET WAY",
            "address_2": "N631",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430610",
            "telephone_number": "415-476-4965",
            "fax_number": "415-476-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLHAGEN",
        "first_name": "MARGARET",
        "middle_name": "INGRID",
        "name_prefix": "Prof.",
        "credential": "RN, GNP, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "181577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.