Individual provider Active NPI

Avis G Marleau-Webb

  • Certified Registered Nurse Anesthetist
  • Gaithersburg, MD
National Provider Identifier
1326298068
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN534520 Issued in PA
Practice address
113 Ellington Blvd
Apt 539
Gaithersburg, MD 20878-4528
Phone
(215) 796-4827
NPI assigned
Sep 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN1029207 DC
Certified Registered Nurse Anesthetist 367500000X R205881 MD
Certified Registered Nurse Anesthetist 367500000X RN534520 PA Primary

Addresses

Primary practice location

113 Ellington Blvd
Apt 539
Gaithersburg, MD 20878-4528

Mailing address

113 Ellington Blvd Apt 539
Apt 539
Gaithersburg, MD 20878-4542
Phone (215) 796-4827

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

LicenseStateTypeSpecialty
7388CTMDDental Hygienist
RN1029207DCMDCertified Registered Nurse Anesthetist
R205881MDMDCertified Registered Nurse Anesthetist
RN534520PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Wendy Kloesz, M.D., P.a Past Accepting new patients
Memorial Hospital Nurse Anesthetist, Certified Registered Past Accepting new patients
York Anesthesiology Physician Services LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1326298068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 ELLINGTON BLVD APT 539",
            "address_2": "APT 539",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208784542",
            "telephone_number": "215-796-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 ELLINGTON BLVD",
            "address_2": "APT 539",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208784528",
            "telephone_number": "215-796-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLEAU-WEBB",
        "first_name": "AVIS",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "DC",
            "license": "RN1029207",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R205881",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN534520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.