TAMMY ELAINE WALTERS (NPI# 1003920968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003920968 |
| Entity Type | Individual |
| Full Name | TAMMY ELAINE WALTERS |
| Credential | PA-C |
| Practice Address |
125 Buena Vista Cir Pavillion South Hill VA 23970-1431 |
| Mailing Address |
100 State St Emporia VA 23847-2040 |
| Practice Telephone | 4344473151 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110002186 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639266554 | Tammy Pridgen Walters | Physical Therapist | 230 Hughes Rd Ste F, Madison, AL 35758-1113 | 2006-10-10 |
| 1881061943 | Tammy Walters | Counselor | 519 Latham Dr, Lowell, AR 72745 | 2015-08-25 |
| 1902213986 | Tammy Walters | Nurse Practitioner | 37 Ball Park Rd, Harlan, KY 40831-1701 | 2014-07-22 |
| 1285044834 | Tammy M Walters | Social Worker | 8402 Blackjack Road Ext, Mount Vernon, OH 43050-9193 | 2014-05-05 |
| Street Address |
125 BUENA VISTA CIR PAVILLION |
| City | SOUTH HILL |
| State | VA |
| Zip Code | 23970-1431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194706598 | David Hamilton Brown | Emergency Medicine | 125 Buena Vista Cir, South Hill, VA 23970-1431 | 2005-11-11 |
| 1477186088 | Megan Puckett | Occupational Therapist | 125 Buena Vista Cir, South Hill, VA 23970-1431 | 2020-02-21 |
| 1548807308 | Teresa Morgan | Occupational Therapy Assistant | 125 Buena Vista Cir, South Hill, VA 23970-1431 | 2019-11-28 |
| 1790321875 | Christina Liles | Physical Therapy Assistant | 125 Buena Vista Cir, South Hill, VA 23970-1431 | 2019-11-23 |
| 1235608175 | Heather Baisey | Physical Therapy Assistant | 125 Buena Vista Cir, South Hill, VA 23970-1431 | 2018-11-21 |
| 1396229621 | Rhonda L Maitland | Physical Therapy Assistant | 125 Buena Vista Cir, South Hill, VA 23970-1431 | 2018-09-22 |
| 1154813046 | Sally Wilson | Speech-Language Pathologist | 125 Buena Vista Cir, South Hill, VA 23970-1431 | 2018-06-05 |
| 1255822318 | Barbara L Hicks | Occupational Therapy Assistant | 125 Buena Vista Cir, South Hill, VA 23970-1431 | 2018-05-24 |
| 1780109306 | Beverly Driver | Registered Nurse | 125 Buena Vista Cir, South Hill, VA 23970-1431 | 2017-08-04 |
| 1265808877 | Jessica Jones | Nurse Practitioner | 125 Buena Vista Cir, South Hill, VA 23970-1431 | 2015-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043784606 | Elizabeth Jene Ezell | Dental Hygienist | 604 N. Thomas St., South Hill, VA 23970 | 2019-01-17 |
| 1821576901 | Mackenzie Jean Blackwell | Dental Hygienist | 604 N. Thomas St, South Hill, VA 23970 | 2018-08-01 |
| 1316459357 | Bernita Danica Boyd | Contractor | 436 Theater Rd, South Hill, VA 23970 | 2017-10-31 |
| 1194242909 | More Transport LLC | Non-emergency Medical Transport (VAN) | 651 Clearview Dr, South Hill, VA 23970 | 2017-08-23 |
| 1912423534 | Larry D Warren | Driver | 730 Hite Street, Po Box 896, South Hill, VA 23970 | 2017-08-15 |
| 1902320658 | Lakika Lyshon Hicks | Non-emergency Medical Transport (VAN) | 74 Hudgins Road, South Hill, VA 23970 | 2017-08-02 |
| 1053835561 | Vernice Luevine Lewis | Driver | 11525 Highway One, South Hill, VA 23970 | 2017-07-27 |
| 1407376924 | Building Blocks To Success LLC | Occupational Therapist | 20429 Hwy Forty-seven, South Hill, VA 23970 | 2017-06-26 |
| 1316477136 | Eric Blackwell | Driver | 248 Circle Dr, South Hill, VA 23970 | 2017-06-14 |
| 1619341443 | North View Day Support LLC | Day Training, Developmentally Disabled Services | 359 Saffold Road, South Hill, VA 23970 | 2015-11-17 |
| Find all providers in zip 23970 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174524516 | Diana P Crowder | Physician Assistant | 412 Durant St, South Hill Internal Medicine Critical Care, South Hill, VA 23970-1614 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638986 | Courtney Anne Kassner | Physician Assistant | 2706 Davis Ave, Alexandria, VA 22302-2817 | 2020-08-06 |
| 1295356145 | Nilofar Ariasaif | Physician Assistant | 15401 Bald Eagle Ln, Woodbridge, VA 22191-3782 | 2020-05-01 |
| 1396366555 | Sheelon Aghili | Physician Assistant | 5801 Hampton Forest Way, Fairfax, VA 22030-7254 | 2020-04-29 |
| 1679102347 | Mary Herrera | Physician Assistant | 6353 Center Dr Ste 204, Norfolk, VA 23502-0001 | 2020-04-05 |
| 1720614019 | Andrew James Meyers | Physician Assistant | 229 W Bute St Apt 207, Norfolk, VA 23510-1415 | 2020-03-18 |
| 1902432644 | Madison Alexis Cooper | Physician Assistant | 920 Battlefield Blvd S Ste 101, Chesapeake, VA 23322-4254 | 2020-03-13 |
| 1285296111 | Kimberly Stewart Hugo | Physician Assistant | 10932 Point Grey Road, Henrico, VA 23233-2429 | 2019-07-01 |
| 1558824698 | Jessica Leigh Pacuch | Physician Assistant | 2440 Raphine Rd, Raphine, VA 24472-2541 | 2019-04-06 |
| 1073074431 | Nicholas Alexander Jones | Physician Assistant | 924 Parley Pl, Chesapeake, VA 23323-4135 | 2019-03-28 |
| 1003371410 | Ryan Timothy Pyles | Physician Assistant | 25 Commerce Park Drive, Raphine, VA 24472 | 2019-02-11 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH HILL |
| Zip Code | 23970 |
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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.