Individual provider Active NPI

Deborah A. Wiancek, N.D.

  • Naturopath
  • Edwards, CO
National Provider Identifier
1720234990
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
846 Issued in WA
Practice address
280 Main St Unit C-105
Edwards, CO 81632-8501
Phone
(970) 926-7606
Fax
(970) 926-7606
NPI assigned
Aug 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 846 WA Primary

Addresses

Primary practice location

280 Main St Unit C-105
Edwards, CO 81632-8501

Mailing address

280 Main St Unit C-105
Edwards, CO 81632-8501
Phone (970) 926-7606

Other identifiers 1

IdentifierTypeStateIssuer
846OtherWACONFINITY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
846WAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Riverwalk Natural Health Clinic and Natural Pharmacy LLC Naturopath Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218067200000",
    "number": "1720234990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 MAIN ST UNIT C-105",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816328501",
            "telephone_number": "970-926-7606",
            "fax_number": "970-926-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MAIN ST UNIT C-105",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816328501",
            "telephone_number": "970-926-7606",
            "fax_number": "970-926-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIANCEK",
        "first_name": "DEBORAH",
        "middle_name": "A.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-07",
        "last_updated": "2008-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONFINITY",
            "identifier": "846",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwards, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.