WALTER MATHENY II (NPI# 1053911339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053911339 |
| Entity Type | Individual |
| Full Name | WALTER MATHENY II |
| Credential | APRN FNP-C |
| Practice Address |
216 W Union Street Ste A Minden Minden LA 71055 |
| Practice Telephone | 3182996334 |
| Practice Fax Number | 3182996332 |
| Mailing Telephone | 3182996334 |
| Mailing Fax Number | 3182996332 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
215856 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
216 W UNION STREET STE A MINDEN |
| City | MINDEN |
| State | LA |
| Zip Code | 71055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194331579 | Minden Family Pharmacy LLC | Pharmacy | 120 Homer Rd, Minden, LA 71055 | 2020-09-21 |
| 1003469479 | Premier Family Clinic | Nurse Practitioner | 102 Office Park Dr., Minden, LA 71055 | 2019-07-24 |
| 1952803389 | Regina Flournoy | Case Manager/Care Coordinator | 561 Angi Rd, Minden, LA 71055 | 2018-03-01 |
| 1902322233 | New Concept Development Center | Clinic/Center | 15365 Hwy 80, Minden, LA 71055 | 2017-08-18 |
| 1396269304 | Tashalana Walker | Counselor | 601 Homer Rd., Minden, LA 71055 | 2017-08-01 |
| 1992227029 | Kathryn Anne Landreneau | Nurse Practitioner | 101 Murrell St Ste 2, Minden, LA 71055 | 2017-07-11 |
| 1639699937 | Shykiia Hawkins | Counselor | 409 Meadowview Drive, Minden, LA 71055 | 2017-06-27 |
| 1053851147 | Shatoria Moore | Case Manager/Care Coordinator | 305 Homer Rd, Minden, LA 71055 | 2017-03-08 |
| 1821547258 | Sheretha Harrison | Counselor | 1008 Brenda Cir, Minden, LA 71055 | 2016-09-27 |
| 1285080358 | Abc Pediatrics | Specialist | 164 Country Club Circle Ste. B, Minden, LA 71055 | 2016-05-09 |
| Find all providers in zip 71055 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336764604 | Kaleigh Marie Stephenson | Nurse Practitioner | 102 S Monroe St Ste B, Minden, LA 71055-3357 | 2020-06-12 |
| 1003469479 | Premier Family Clinic | Nurse Practitioner | 102 Office Park Dr., Minden, LA 71055 | 2019-07-24 |
| 1992227029 | Kathryn Anne Landreneau | Nurse Practitioner | 101 Murrell St Ste 2, Minden, LA 71055 | 2017-07-11 |
| 1033451943 | Rebecca P Brown | Nurse Practitioner | 910 Cline St, Minden, LA 71055-3016 | 2013-03-19 |
| 1740544352 | Kristi G Williams | Nurse Practitioner | 216 W Union St Ste B, Minden, LA 71055 | 2012-06-28 |
| 1508825266 | Sallie Lee Bethea | Nurse Practitioner | 1400 Drake Dr, Minden, LA 71055-9045 | 2006-03-21 |
| 1336758846 | Stephanie Ann Prather | Nurse Practitioner | 1649 Lucerne St, Minden, NV 89423-4369 | 2020-07-30 |
| 1831641448 | Brenda Hawkins | Nurse Practitioner | 1111 Homer Rd, Minden, LA 71055-3027 | 2016-10-30 |
| 1528443249 | Angela Fussell | Nurse Practitioner | 1111 Homer Rd, Minden, LA 71055-3027 | 2015-07-23 |
| 1841674074 | Ramee Dickerson | Nurse Practitioner | 3 Medical Plaza Pl, Minden, LA 71055-3330 | 2015-07-17 |
| Find all providers in MINDEN | ||||
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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.