Active NPI
Avis G Marleau-Webb
- Certified Registered Nurse Anesthetist
- Gaithersburg, MD
National Provider Identifier
1326298068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN534520
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 7388 | CT | MD | Dental Hygienist |
| RN1029207 | DC | MD | Certified Registered Nurse Anesthetist |
| R205881 | MD | MD | Certified Registered Nurse Anesthetist |
| RN534520 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1144472887
-
dba Memorial Hospital Anesthesia Group
- Anesthesiology Physician
- York, PA
- NPI 1922009620
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- York, PA
- NPI 1407112634
Nurse Anesthetist, Certified Registered
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.