Active NPI
Gabriel D. Wander, CRNA
- Certified Registered Nurse Anesthetist
- Austin, TX
National Provider Identifier
1245429513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP132503
- Practice address
- 3705 Medical Pkwy
Suite 570
Austin, TX 78705-1019 - Phone
- (512) 454-2554
- NPI assigned
- Oct 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN00151577 | WA | |
| Certified Registered Nurse Anesthetist | 367500000X | AP132503 | TX | Primary |
Addresses
Primary practice location
3705 Medical Pkwy
Suite 570
Austin, TX 78705-1019
Mailing address
3705 Medical Pkwy
Suite 570
Austin, TX 78705-1019
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)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00151577 | WA | MD | Registered Nurse |
| AP132503 | TX | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490313600000",
"number": "1245429513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3705 MEDICAL PKWY",
"address_2": "SUITE 570",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3705 MEDICAL PKWY",
"address_2": "SUITE 570",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051019",
"telephone_number": "512-454-2554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANDER",
"first_name": "GABRIEL",
"middle_name": "D.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-23",
"last_updated": "2017-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00151577",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP132503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.