Marie Antoinette Whannel, ARNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

C044554 Issued in IA

Practice address

412 E Church St
Marshalltown, IA 50158-2947

Phone

(641) 753-4021

Fax

(641) 753-4025

NPI assigned

Oct 27, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1396821096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 6TH ST",
            "city": "TRAER",
            "state": "IA",
            "postal_code": "506751304",
            "telephone_number": "319-478-8947",
            "fax_number": "319-478-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 E CHURCH ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501582947",
            "telephone_number": "641-753-4021",
            "fax_number": "641-753-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHANNEL",
        "first_name": "MARIE",
        "middle_name": "ANTOINETTE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IA",
            "license": "C044554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1222513",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dixie M Weiss, RPH
• Larry W Weiss, MD
• Heidi Marie Welch, P.T., A.T.C.
• Matthew C Welp, PHARMD
• Blaine Brian Westemeyer, M.D.
• Jeff Wheeler
• Bailey White
• Megan Whitmore
• Sierra Wiebensohn
• Wild Spirit Counseling, LLC

• Pediatric Nurse Practitioner in Marshalltown, IA
• Providers in Marshalltown, IA by specialty
• Pediatric Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.