Marla J Bagge, CNM, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209012338 Issued in IL

Practice address

525 W Madison Ave
Wheaton, IL 60187-4069

Phone

(630) 989-8904

NPI assigned

Jul 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1427064708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W MADISON AVE",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874069",
            "telephone_number": "630-989-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W MADISON AVE",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874069",
            "telephone_number": "630-989-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGGE",
        "first_name": "MARLA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "CNM, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209001903",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209012338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayesha Badar, MD
• Rob Baechle
• Beth Baehrend
• Juana Baeza
• Jamila Bagash
• Christian Baginski
• Amanda Justine Bagnall
• Jeaidine Vanessa Baker
• Nancy N/a Baker, D.C.
• Saaquib R Bakhsh, MD

• Family Nurse Practitioner in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.