Colleen E. Wahl, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R136242 Issued in MD

Practice address

10 Center Drive MSC 1851 BLDG 10 RM 6C 414
Bethesda, MD 20892-1851

Phone

(301) 496-0960

NPI assigned

Sep 12, 2013

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

State licenses

Practice roles

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1356776017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11725 STONINGTON PL",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209021639",
            "telephone_number": "240-328-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CENTER DRIVE MSC 1851 BLDG 10 RM 6C 414",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208921851",
            "telephone_number": "301-496-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHL",
        "first_name": "COLLEEN",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R136242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari Lynn Wagner, M.D.
• Patricia Wagner, RN, FNP-BC
• Sabrina Kathryn Wagner
• Scott Wagner, M.D.
• Robert Wah, MD
• Laura Wahrhaftig, SLPA
• Lauren Shea Waikart, LCPC
• Tracy Waldeck, PHD
• Meryl Waldman, M.D.
• Robert Stephen Waldman, M.D.

• Family Nurse Practitioner in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.