Gail Kathleen Wallenbeck, RN

Primary specialty

College Health Registered NurseTaxonomy code 163WC1400X

License

244163 Issued in CA

Practice address

800 N State College Blvd
Student Health & Counseling Center
Fullerton, CA 92831-3547

Phone

(714) 278-2832

Fax

(714) 278-5525

NPI assigned

May 11, 2007

Sex

Female

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306051560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N STATE COLLEGE BLVD",
            "address_2": "STUDENT HEALTH & COUNSELING CENTER",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313547",
            "telephone_number": "714-278-2832",
            "fax_number": "714-278-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N STATE COLLEGE BLVD",
            "address_2": "STUDENT HEALTH & COUNSELING CENTER",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313547",
            "telephone_number": "714-278-2832",
            "fax_number": "714-278-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLENBECK",
        "first_name": "GAIL",
        "middle_name": "KATHLEEN",
        "name_prefix": "Prof.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, College Health",
            "state": "CA",
            "license": "244163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Anne Walker, COTA
• Denise Wallace
• Denise Renee Wallace, PH.D.
• Rebecca B Wallace, MFT
• Melissa Walle
• Jessica Marie Wallis
• Edward Walls
• Michelle Yvette Walls
• Samantha Waller Waltz, P.T.
• David C Wang, PHD

• College Health Registered Nurse in Fullerton, CA
• Providers in Fullerton, CA by specialty
• College Health Registered Nurse in California

• 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.