REED WILLIAM WALTERS (NPI# 1003478553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003478553 |
| Entity Type | Individual |
| Full Name | REED WILLIAM WALTERS |
| Practice Address |
1604 Visa Dr. Ste. 1 Normal IL 61761 |
| Practice Telephone | 3098464716 |
| Practice Fax Number | 3094547348 |
| Mailing Telephone | 3098464716 |
| Mailing Fax Number | 3094547348 |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2019-07-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1604 VISA DR. STE. 1 |
| City | NORMAL |
| State | IL |
| Zip Code | 61761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699968602 | Anastasia Seeram | Physician Assistant | 1604 Visa Dr., Ste 1, Normal, IL 61761 | 2007-08-22 |
| 1700327228 | Ashleigh Thompson | Specialist/Technologist, Other | 1604 Visa Dr., Ste. 1, Normal, IL 61761 | 2017-03-16 |
| 1447631239 | Michael A Hoeft | Registered Nurse | 1604 Visa Dr., Ste 2, Normal, IL 61761 | 2015-06-17 |
| 1851770713 | Kara Lyn Mace | Licensed Practical Nurse | 1604 Visa Dr., Ste. 2, Normal, IL 61761 | 2015-05-26 |
| 1639567902 | Stephanie Jo Layne | Specialist/Technologist, Other | 1604 Visa Dr., Ste. 2, Normal, IL 61761 | 2015-01-08 |
| 1306253307 | Kayla Coonrat | Licensed Practical Nurse | 1604 Visa Dr., Ste 2, Normal, IL 61761 | 2014-07-22 |
| 1043627045 | Brenda Gregory | Licensed Practical Nurse | 1604 Visa Dr., Ste. 2, Normal, IL 61761 | 2014-07-22 |
| 1144637729 | Amber Gray | Licensed Practical Nurse | 1604 Visa Dr., Ste 2, Normal, IL 61761 | 2014-07-16 |
| 1336556919 | Tonja Huff | Licensed Practical Nurse | 1604 Visa Dr., Ste. 2, Normal, IL 61761 | 2014-07-16 |
| 1326455908 | Kari Endres | Licensed Practical Nurse | 1604 Visa Dr., Ste. 2, Normal, IL 61761 | 2014-07-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681796 | Brittany Nicole Mekley | Nurse Practitioner | 201 N. University, Normal, IL 61761 | 2020-08-28 |
| 1679108971 | Krystal Halliday | Occupational Therapist | 1815 N Towanda Barnes Rd, Normal, IL 61761 | 2020-03-06 |
| 1265915474 | Laine E Burek | Nurse Practitioner | 1765 Bradford Ln., Normal, IL 61761 | 2018-09-13 |
| 1801389986 | Ashley Michelle James | Specialist/Technologist | 347 S. University St, Normal, IL 61761 | 2018-06-12 |
| 1447750708 | Shelley R. Ruch | Specialist/Technologist, Other | 1604 Visa Drive, Ste 1, Normal, IL 61761 | 2018-02-13 |
| 1497275069 | Mclean County Nursing Home | Non-emergency Medical Transport (VAN) | 901 N. Main St, Normal, IL 61761 | 2017-06-23 |
| 1235673666 | Megan Threm | Registered Nurse | 900 Franklin Ave Community Health Care Clinic, Normal, IL 61761 | 2016-12-04 |
| 1437513553 | Tiesha Smith | Specialist | 1800 Rockingham Dr, Apt 1d, Normal, IL 61761 | 2016-04-06 |
| 1285031658 | New Day Recovery | Community/Behavioral Health | 402 Summit, Normal, IL 61761 | 2014-12-01 |
| 1174927701 | Alyssa Marie Bruck | Occupational Therapist | 700 N Walnut St, Normal, IL 61761 | 2014-10-10 |
| Find all providers in zip 61761 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316204266 | Sidney E Kessinger | Specialist/Technologist, Other | 1604 Visa Dr Ste 1, Normal, IL 61761-2195 | 2012-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023634045 | Electrolysis By Kelly Inc | Specialist/Technologist, Other | 715 Lake St Ste 300, Oak Park, IL 60301-1412 | 2020-06-25 |
| 1295384337 | Stacey Gail Lucterhand | Specialist/Technologist, Other | 133 Ridge Rd, Highland Park, IL 60035-4338 | 2019-09-11 |
| 1740783117 | Ericka Nicole Curry | Specialist/Technologist, Other | 8635 S 87th Ave, Justice, IL 60458-2005 | 2018-03-13 |
| 1316462807 | Hrisanthi Zhupa | Specialist/Technologist, Other | 7253 W Touhy Ave, Chicago, IL 60631-4326 | 2017-08-07 |
| 1013442045 | Kyle Marcus Thorson | Specialist/Technologist, Other | 267 South Chestnut St, Apt 3, Chebanse, IL 60922 | 2017-04-27 |
| 1255866646 | Matthew Kovarik | Specialist/Technologist, Other | 221 3rd St, Libertyville, IL 60048-2303 | 2017-04-24 |
| 1275068660 | Marissa Nicole Maeder | Specialist/Technologist, Other | 205 S 6th St, Malta, IL 60150-9703 | 2017-04-24 |
| 1629503016 | Amber Beasley | Specialist/Technologist, Other | 2808 Grouse Ct, Rolling Meadows, IL 60008-2601 | 2017-04-24 |
| 1073048468 | Nicole Lynn Fatka | Specialist/Technologist, Other | 318 N Thomas St, Gilman, IL 60938-1352 | 2017-04-24 |
| 1982139374 | Nicholas Escondo | Specialist/Technologist, Other | 1407 Churchill Ln, Grayslake, IL 60030-3754 | 2017-04-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.