Waterloo Women'S Health

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

209007742 Issued in IL

Legal business name

WATERLOO WOMEN'S HEALTH

Practice address

869 N. Illinois RT 3
Waterloo, IL 62298

Phone

(618) 939-7771

NPI assigned

Sep 10, 2009

Organization subpart

No

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

Authorized official

Name

Marla R Smith, NPNPI 1548444011

Title

Apn

Phone

(618) 939-7771

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marla Rae Smith

  • Women's Health Nurse Practitioner
  • Waterloo, IL
  • NPI 1548444011
  NPD (past) Authorized official

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1841523776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "869 N. ILLINOIS RT 3",
            "city": "WATERLOO",
            "state": "IL",
            "postal_code": "62298",
            "telephone_number": "618-939-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "869 N. ILLINOIS RT 3",
            "city": "WATERLOO",
            "state": "IL",
            "postal_code": "62298",
            "telephone_number": "618-939-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERLOO WOMEN'S HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARLA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "APN",
        "authorized_official_telephone_number": "618-939-7771",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": "209007742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waterloo Chiropractic and Rehabilitation Center P.C.
• Waterloo Comm
• Waterloo Medical Center PC
• Waterloo SLP LLC
• Waterloo Urgent Care Walk in Clinic Company
• Allayne E Weaver, DPT
• Jonathan Wehrenberg, MHP
• Lindsey Welker, BA
• Ashley C West, M.S., CCC-SLP
• Sarah West, RSA

• Women's Health Nurse Practitioner in Waterloo, IL
• Providers in Waterloo, IL by specialty
• Women's Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.