Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1336395805
Marybeth WaldorfCNM
Active
NPI Number1336395805
NPI TypeNPI-1 Individual
SpecialtyAdvanced Practice Midwife
Provider Details
NPI1336395805
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2008-08-15
Last Updated2021-05-24
Mailing Address4201 Winfield Rd Fl 4
Warrenville, IL 60555-4025
United States
Phone: (331) 221-6377 | Fax: (331) 221-2357
📍 View Map
Primary Practice Address1200 S York St Ste 4120
Elmhurst, IL 60126-5630
United States
Phone: (331) 221-9009 | Fax: (331) 221-2750
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes367A00000X – Advanced Practice MidwifeIL209.007156
Export Provider Record NPI 1336395805
Search for More Providers
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →

About NPI 1336395805

Marybeth Waldorf CNM is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1336395805. The primary specialty listed is Advanced Practice Midwife. The provider is located in Elmhurst, IL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-08-15. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1336395805?

NPI 1336395805 belongs to Marybeth Waldorf CNM, a Advanced Practice Midwife in Elmhurst, IL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1336395805 active?

The current status of NPI 1336395805 in the NPPES registry is Active. The record was last updated on 2021-05-24.

What specialty is NPI 1336395805?

NPI 1336395805 is classified under the taxonomy Advanced Practice Midwife. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1336395805?

You can verify NPI 1336395805 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1336395805?

The primary practice address on file for NPI 1336395805 is 1200 S York St Ste 4120, Elmhurst, IL 60126-5630. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1336395805 issued?

NPI 1336395805 was first issued (enumerated) on 2008-08-15. The NPPES record was last updated on 2021-05-24.

Practice Location Map

Marybeth Waldorf is located at 1200 S York St Ste 4120, Elmhurst, IL. Use the map below to find directions or verify the practice location.

📍 1200 S York St Ste 4120, Elmhurst, IL 60126-5630  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Marybeth Waldorf. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1336395805. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Advanced Practice Midwife209.007156IL
Data Verified from CMS NPPES Last synced: 2026-08-12 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162