Individual provider Active NPI

Sarah Walder, APNP

  • Neonatal Nurse Practitioner
  • Wausau, WI
National Provider Identifier
1912234881
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
3914 Issued in WI
Practice address
2720 Plaza Dr
Suite 2100
Wausau, WI 54401-4158
Phone
(715) 847-2911
NPI assigned
Nov 12, 2009
Last updated
Nov 12, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X 3914 WI Primary

Addresses

Primary practice location

2720 Plaza Dr
Suite 2100
Wausau, WI 54401-4158

Mailing address

2720 Plaza Dr
Suite 2100
Wausau, WI 54401-4158
Phone (715) 847-2911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100202000557 WI Practitioner - Nurse Practitioner 5799828505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257984000000",
    "number": "1912234881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 PLAZA DR",
            "address_2": "SUITE 2100",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014158",
            "telephone_number": "715-847-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 PLAZA DR",
            "address_2": "SUITE 2100",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014158",
            "telephone_number": "715-847-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDER",
        "first_name": "SARAH",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-12",
        "last_updated": "2009-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "WI",
            "license": "3914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.