AMBER LEE WALSTON (NPI# 1063845808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063845808 |
Entity Type | Individual |
Full Name | AMBER LEE WALSTON |
Credential | NP |
Practice Address |
200 Patewood Dr Ste A350 Greenville SC 29615-3593 |
Mailing Address |
1 Independence Pt Ste. 212 Greenville SC 29615-4545 |
Practice Telephone | 8644545110 |
Practice Fax Number | 8644545141 |
Mailing Telephone | 8647976306 |
Enumeration Date | 2013-08-15 |
Last Update Date | 2015-06-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
18429 | SC | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | NP2558 | 05 |
Street Address |
200 PATEWOOD DR STE A350 |
City | GREENVILLE |
State | SC |
Zip Code | 29615-3593 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508861345 | John Kim Johnson | Neurological Surgery | 200 Patewood Dr, Suite B260, Greenville, SC 29615-3593 | 2005-06-17 |
1255941241 | Sharmaine Barnes | Specialist/Technologist | 200 Patewood Dr, Greenville, SC 29615-3593 | 2020-08-04 |
1598320897 | Yana Ginzburg | Physical Therapist | 200 Patewood Dr, Greenville, SC 29615-3593 | 2019-05-02 |
1457891228 | Sierra R Williams | Nurse Practitioner | 200 Patewood Dr, Suite B260, Greenville, SC 29615-3593 | 2017-02-27 |
1063951333 | Megan Lee Hiott | Nurse Practitioner | 200 Patewood Dr, A330, Greenville, SC 29615-3593 | 2017-02-19 |
1316485394 | Anita Suzette Combs | Nurse Practitioner | 200 Patewood Dr, Suite B350, Greenville, SC 29615-3593 | 2017-02-09 |
1730626813 | Lauren Lee Hays | Nurse Practitioner | 200 Patewood Dr, Suite B350, Greenville, SC 29615-3593 | 2017-01-26 |
1497200083 | Abigail Pellett | Physical Therapist | 200 Patewood Dr, Ste C150, Greenville, SC 29615-3593 | 2016-08-24 |
1033664909 | Prisma Health-upstate | General Acute Care Hospital | 200 Patewood Dr, Suite C300, Greenville, SC 29615-3593 | 2016-08-22 |
1144775032 | Prisma Health-upstate | General Acute Care Hospital | 200 Patewood Dr, Building A, Greenville, SC 29615-3593 | 2016-08-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
Find all providers in zip 29615 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982251138 | Chelsea Neaoma Lyday | Nurse Practitioner | 3005 Joe Ramsey Blvd E, Greenville, TX 75401-7714 | 2019-08-22 |
1275704645 | Ashley Ledford Fuller | Nurse Practitioner | 3980 Highway 100, Greenville, GA 30222-2109 | 2008-03-13 |
1831371871 | Dana L Silverman | Nurse Practitioner | 45 Stonewold Way, Greenville, DE 19807-2566 | 2007-12-01 |
1750369195 | Pamela Larsen | Nurse Practitioner | Pediatric Outpatient Center, 600 Moye Blvd, Greenville, NC 27858 | 2006-01-05 |
1114578259 | Jessica Heckart Hardison | Nurse Practitioner | 118 Oakmont Dr, Greenville, NC 27858-5936 | 2019-09-20 |
1295380046 | Kathryn A Campbell | Nurse Practitioner | 525 Verdae Blvd Ste 200, Greenville, SC 29607-4021 | 2019-08-08 |
1144875501 | Amanda Parker Mitchell | Nurse Practitioner | 913 E Arlington Blvd, Greenville, NC 27858-5864 | 2019-08-02 |
1275004491 | Rebecca Bowman | Nurse Practitioner | 300 Bethesda Dr, Greenville, NC 27834-7218 | 2018-12-16 |
1053806877 | Claudina Denisse Castillo | Nurse Practitioner | 200 Patewood Dr Ste A330, Greenville, SC 29615 | 2018-06-25 |
1952800682 | Arlene Merle | Nurse Practitioner | 2150 Herbert Ct, Greenville, NC 27834-3736 | 2018-02-08 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 29615 |
Please comment or provide details below to improve the information on AMBER LEE WALSTON.
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.