ROBERTA ANNE WALTERS (NPI# 1053840959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053840959 |
| Entity Type | Individual |
| Full Name | ROBERTA ANNE WALTERS |
| Credential | ARNP |
| Practice Address |
601 Northolt Pkwy Suwanee GA 30024-4360 |
| Mailing Address |
6230 Stillwater Pl Flowery Branch GA 30542-5367 |
| Practice Telephone | 7709043222 |
| Mailing Telephone | 7062062008 |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2017-06-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN190448 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871191445 | Roberta J Walters | Home Health Aide | 7775 Lake Dr, Newark, OH 43056-9354 | 2020-10-15 |
| 1922341221 | Roberta Ardelle Walters | Counselor | 101 N Woodrow St, Little Rock, AR 72205-4341 | 2013-04-04 |
| Street Address |
601 NORTHOLT PKWY |
| City | SUWANEE |
| State | GA |
| Zip Code | 30024-4360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033161237 | Ggnsc Lawrenceville LLC | Skilled Nursing Facility | 601 Northolt Pkwy, Suwanee, GA 30024-4360 | 2006-05-16 |
| 1265902530 | Mlh Salude - Gwinnett LLC | Skilled Nursing Facility | 601 Northolt Pkwy, Suwanee, GA 30024-4360 | 2018-11-29 |
| 1093241754 | Lucyl-mams Eyongndip Fonkeng | Occupational Therapy Assistant | 601 Northolt Pkwy, Suwanee, GA 30024-4360 | 2017-05-02 |
| 1558733261 | Hila Oren | Nurse Practitioner | 601 Northolt Pkwy, Suwanee, GA 30024-4360 | 2015-10-21 |
| 1558744680 | George Leonard Shaw Jr. | Physical Therapist | 601 Northolt Pkwy, Suwanee, GA 30024-4360 | 2015-07-07 |
| 1497155238 | Ggnsc Lawrenceville LLC | Family Medicine | 601 Northolt Pkwy, Suwanee, GA 30024-4360 | 2014-08-29 |
| 1013253780 | Clarice M Ezeanya | Physical Therapist | 601 Northolt Pkwy, Suwanee, GA 30024-4360 | 2012-12-27 |
| 1093734238 | Alan L Wang | Internal Medicine | 601 Northolt Pkwy, Suwanee, GA 30024-4360 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996565 | Stephanie Arkin | Student in an Organized Health Care Education/Training Program | 25 Old Peachtree Rd Nw, Suwanee, GA 30024 | 2019-08-05 |
| 1164989638 | Laquitta Craft | Registered Nurse | 2855 Lawrenceville Suwanee Road Suite 330/340, Suwanee, GA 30024 | 2019-02-21 |
| 1467937235 | Greater Atlanta Monitoring, LLC | Electrodiagnostic Medicine | 3651 Peachtree Ste E. #331, Suwanee, GA 30024 | 2018-09-27 |
| 1760963482 | Esther Natacha Lafontant | Public Health or Welfare | 3205 Maple Terrace Drive, Suwanee, GA 30024 | 2018-08-22 |
| 1740778463 | Immaculate Healthcare Solutions, LLC | Home Health | 970 Peachtree Industrial Blvd Ste 8, Suwanee, GA 30024 | 2018-04-27 |
| 1053819235 | Sean Wonsuk Jang | Chiropractor | 3370 Lawrenceville Suwanee Rd Ste 118, Suwanee, GA 30024 | 2018-01-23 |
| 1932628468 | Silver Health Services, Inc. | Case Manager/Care Coordinator | 2640 Westbury Court, Swanee, GA 30024 | 2017-09-15 |
| 1285159095 | April L. Rivers | Nurse Practitioner | 4411 Suwanee Dam Rd Ste 110, Suwanee, GA 30024 | 2017-08-14 |
| 1144743840 | Nabil Elkareh | Pharmacist | 5049 Tarry Glen Drive., Suwanee, GA 30024 | 2017-07-25 |
| 1720508294 | Robert A Finkel Dds PC | Clinic/Center | 1325 Satellite Blvd Nw Ste 1304, Suwanee, GA 30024 | 2017-06-26 |
| Find all providers in zip 30024 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346840089 | Opal Glorien Bayonne | Nurse Practitioner | 3430 Maple Terrace Dr, Suwanee, GA 30024-2487 | 2020-10-30 |
| 1689273930 | Poonam Batchu | Nurse Practitioner | 5140 Beecham Ct, Suwanee, GA 30024-3390 | 2020-10-19 |
| 1306450390 | Bindumole A Sukumar | Nurse Practitioner | 4130 Bridle Ridge Dr, Suwanee, GA 30024-6030 | 2020-09-07 |
| 1265990899 | Christina Renee Ekstrom | Nurse Practitioner | 6545 Talmadge Ct, Suwanee, GA 30024-4271 | 2019-03-02 |
| 1457829806 | Noushin Vastani | Nurse Practitioner | 5925 Caveat Ct, Suwanee, GA 30024-4415 | 2018-11-04 |
| 1013493089 | Richard Ameh Onoja | Nurse Practitioner | 1537 Pulaski Ct, Suwanee, GA 30024-3656 | 2018-07-12 |
| 1285159095 | April L. Rivers | Nurse Practitioner | 4411 Suwanee Dam Rd Ste 110, Suwanee, GA 30024 | 2017-08-14 |
| 1093257933 | Gema G Lindsay | Nurse Practitioner | 990 Peachtree Industrial Blvd Unit 4532, Suwanee, GA 30024-5249 | 2016-11-09 |
| 1235597279 | Yvena Vincent | Nurse Practitioner | 5230 Suwanee Dam Rd, Suwanee, GA 30024-1722 | 2016-02-05 |
| 1871961847 | Jordan Edward Nutt | Nurse Practitioner | 510 Ruby Forest Pkwy, Suwanee, GA 30024-3930 | 2015-09-09 |
| Find all providers in SUWANEE | ||||
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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.