Deloros E Wacker, RN

Primary specialty

CounselorTaxonomy code 101Y00000X

License

R012816 Issued in SD

Practice address

1410 W 25TH St
Sioux Falls, SD 57105-1552

Phone

(605) 334-2696

Fax

(605) 339-9944

NPI assigned

Aug 12, 2005

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

Enrolled in SD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

North American Baptist SeminaryGroup PAC ID 8628979721, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• North American Baptist Seminary

  • Clinical Psychologist
  • Sioux Falls, SD
  • NPI 1962503383
  Medicare reassignment Care Compare group NPD
• North American Baptist Seminary

  • Counselor
  • Sioux Falls, SD
  • NPI 1114663143
  NPD

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679575294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 W 25TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051552",
            "telephone_number": "605-334-2696",
            "fax_number": "605-339-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 W 25TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051552",
            "telephone_number": "605-334-2696",
            "fax_number": "605-339-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACKER",
        "first_name": "DELOROS",
        "middle_name": "E",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SD",
            "license": "R012816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• W.a. Boade, MD Prof LLC
• Amanda Waba
• Godfrey Oduor Wabwire, MD
• Stacy Wachholtz
• Katherine E Wackel, CRNA
• Ramona M Wade, LMFT
• Hans R Wagenaar, PA-C
• John Francis Wagener, M.D.
• Jill Waggoner, DNP
• Daniel Charles Wagner, BS, RRT

• Counselor in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.