Michael Damon Wascher, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

18538 Issued in CA

Practice address

101 Bodin Circle
Travis AFB, CA 94535-1800

Phone

(707) 423-3727

NPI assigned

Apr 23, 2008

Last updated

Nov 22, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1518132224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W TEXAS ST",
            "address_2": "APT. # 103",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334468",
            "telephone_number": "301-651-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BODIN CIRCLE",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351800",
            "telephone_number": "707-423-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASCHER",
        "first_name": "MICHAEL",
        "middle_name": "DAMON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-23",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "471117",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "53183",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "18538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Franklin Walroth, M.D.
• Martin William Walsh, DDS
• Abraham Wang, PA-C
• Yangli Wang
• Daniel L Ward, MD
• Michael Watts, M.D.
• Jesse Webb, MD
• Lisa D. Webster, RD
• Justin Wei, MD
• Amanda Marie Weindl, DO

• Family Nurse Practitioner in Travis AFB, CA
• Providers in Travis AFB, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.