LISA JO WALTERS (NPI# 1063935484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063935484 |
| Entity Type | Individual |
| Full Name | LISA JO WALTERS |
| Credential | BSN |
| Practice Address |
4815 Burning Tree Rd Ste 100 Duluth MN 55811-3800 |
| Practice Telephone | (218) 733-0707 |
| Practice Fax Number | 2187330717 |
| Mailing Telephone | 2187330707 |
| Mailing Fax Number | 2187330717 |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2017-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | R1647776 | MN | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164773941 | Lisa Joy Walters | Specialist | 6 Ashford Dr, Lake Grove, NY 11755-2808 | 2012-09-20 |
| 1588805360 | Lisa Ann Walters | Counselor | 7917 Highland Park Dr, Ashland, KY 41102-9032 | 2009-03-09 |
| 1326161696 | Lisa Ann Walters | Specialist | 477 N Sawburg Ave, Alliance, OH 44601-1506 | 2007-04-09 |
| 1396204640 | Lisa Walters | Occupational Therapy Assistant | 4702 Nc Highway 48, Roanoke Rapids, NC 27870-8505 | 2019-03-17 |
| 1790274819 | Lisa Marie Walters | Counselor | 2006 Valparaiso St, Valparaiso, IN 46383-3138 | 2018-05-03 |
| 1003358524 | Lisa C Walters | Physical Therapist | 99 Longwater Cir, Suite 201, Norwell, MA 02061-1642 | 2016-11-15 |
| 1245782226 | Lisa Walters | Registered Nurse | 114 Riverbank, Burlington, NJ 08016-1312 | 2016-10-26 |
| 1538499090 | Lisa Anne Walters | Nurse Practitioner | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2010-01-06 |
| 1396946976 | Lisa Ann Walters | Physical Therapy Assistant | 7233 Whipple Ave Nw, North Canton, OH 44720-7137 | 2007-05-30 |
| 1184636946 | Lisa W Walters | Pharmacist | 1901 S 1st St, Pharmacy Service 119t, Temple, TX 76504-7451 | 2006-08-12 |
| Street Address |
4815 BURNING TREE RD STE 100 |
| City | DULUTH |
| State | MN |
| Zip Code | 55811-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427323450 | Kayla Jo Costello | Registered Nurse | 4815 Burning Tree Rd Ste 100, Duluth, MN 55811-3800 | 2012-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417515339 | Kyle Olson-merrick | Dentist | 320 W Myrtle St, Ste 100, Duluth, MN 55811 | 2019-06-05 |
| 1184288979 | Pdg, P.a. | Clinic/Center | 4891 Miller Truck Hwy., Suite 100, Hermantown, MN 55811 | 2019-04-26 |
| 1528589843 | Breanna Joy Greenly | Counselor | 4720 Burning Tree Road, Birch Tree Center, Duluth, MN 55811 | 2017-06-28 |
| 1396102398 | Debbie Christian | Registered Nurse | 4815 Burning Tree Rd Suite 100, Duluth, MN 55811 | 2016-01-21 |
| 1831556935 | Megan Marie Paris | Psychologist | 715 East Central Entrance, Duluth, MN 55811 | 2016-01-20 |
| 1740666908 | Angela Fedo | Physical Therapy Assistant | 2101 Trinity Rd, Duluth, MN 55811 | 2015-08-10 |
| 1649657479 | Kayla Stephenson | Specialist/Technologist | 5024 Morris Thomas Road, Hermantown, MN 55811 | 2015-04-30 |
| 1073918843 | Northern Lives Inc. | Assisted Living Facility | 4014 Trinity Road, Duluth, MN 55811 | 2014-10-23 |
| 1114326238 | Donald Hermanson | Specialist/Technologist | 801 Boulder Drive, Apt. 202, Duluth, MN 55811 | 2014-08-14 |
| 1679990857 | Jodie Little | Pharmacist | 801 W. Central Entrance, Shopko Pharmacy 2114, Duluth, MN 55811 | 2014-03-25 |
| Find all providers in zip 55811 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689201527 | Divinity Healthcare Solutions Inc | Registered Nurse | 3500 Breckinridge Blvd Apt 429, Duluth, GA 30096-5168 | 2020-03-23 |
| 1790336485 | Laura Joy Carlson | Registered Nurse | 347 W Wabasha St, Duluth, MN 55803-1953 | 2019-09-24 |
| 1750851937 | Endia Boyd | Registered Nurse | 2412 Fairlie Dr, Duluth, GA 30096-9269 | 2018-11-29 |
| 1396291688 | Bonnie Jean Besvold | Registered Nurse | 1129 87th Ave W, Duluth, MN 55808-1504 | 2016-08-28 |
| 1609320522 | Truc Pham | Registered Nurse | 2694 Winsley Pl, Duluth, GA 30097-3493 | 2016-08-09 |
| 1306299268 | Tina Betty Ezeolisah | Registered Nurse | 3355 Mcdaniel Rd, Apt 17401, Duluth, GA 30096-8613 | 2016-07-15 |
| 1396102398 | Debbie Christian | Registered Nurse | 4815 Burning Tree Rd Suite 100, Duluth, MN 55811 | 2016-01-21 |
| 1043614514 | David Steinhoff | Registered Nurse | 2114 N 51st Ave E, Duluth, MN 55804-1205 | 2014-10-13 |
| 1447679279 | Valerie Lou Shelton | Registered Nurse | 118 E Superior St., Duluth, MN 55802 | 2014-04-09 |
| 1447692918 | Cindy Louise Lofald | Registered Nurse | 118 E Superior St, Duluth, MN 55802-2155 | 2013-07-24 |
| Find all providers in DULUTH | ||||
Please comment or provide details below to improve the information on LISA JO WALTERS.
| 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.