SANDRA BUNCH WALTON (NPI# 1093703324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093703324 |
Entity Type | Individual |
Full Name | SANDRA BUNCH WALTON |
Credential | LMFT, CNS |
Practice Address |
1990 Allen Rd Suite B Greenville NC 27834-0058 |
Practice Telephone | 2527584554 |
Practice Fax Number | 2527585561 |
Mailing Telephone | 2527584554 |
Mailing Fax Number | 2527585561 |
Enumeration Date | 2005-10-11 |
Last Update Date | 2010-07-01 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 106H00000X | Marriage & Family Therapist | 153 | NC | Behavioral Health & Social Service Providers |
Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
0229130-37 | NC | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | BCBS | 126AM | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689707531 | Sandra K. Walton | Social Worker | 2222 W Spring Creek Pkwy, Suite 215, Plano, TX 75023-4183 | 2007-03-13 |
1760404321 | Sandra Walton | Nurse Anesthetist, Certified Registered | 575 N River St, Wilkes Barre, PA 18764-0999 | 2006-07-24 |
Street Address |
1990 ALLEN RD SUITE B |
City | GREENVILLE |
State | NC |
Zip Code | 27834-0058 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235127572 | Sandra Bunch Walton | Clinic/Center | 1990 Allen Rd, Suite B, Greenville, NC 27834-0058 | 2005-10-11 |
1679915946 | James Lewis | Counselor | 1990 Allen Rd, Suite F, Greenville, NC 27834 | 2013-07-26 |
1316389687 | Chisa Minter | Counselor | 1990 Allen Rd, Suite F, Greenville, NC 27834 | 2013-07-26 |
1306288675 | Adrea Staton | Counselor | 1990 Allen Rd, Suite F, Greenville, NC 27834 | 2013-07-26 |
1215379581 | Beverly Wilkins | Counselor | 1990 Allen Rd, Greenville, NC 27834 | 2013-07-26 |
1194167890 | Gregory Lance Campbell | Counselor | 1990 Allen Rd, Suite F, Greenville, NC 27834-0058 | 2013-07-23 |
1366749608 | Restart, Inc | Community/Behavioral Health | 1990 Allen Rd, Suite G, Greenville, NC 27834-0058 | 2011-02-23 |
1164616264 | Psychotherapeutic Services, Inc | Psychiatry & Neurology | 1990 Allen Rd, Suite F, Greenville, NC 27834-0058 | 2007-08-31 |
1922037886 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 1990 Allen Rd, Suite C, Greenville, NC 27834-0058 | 2006-07-02 |
1457335440 | Alexandr Zouev | Psychiatry & Neurology | 1990 Allen Rd, Suite G, Restart Inc., Greenville, NC 27834-0058 | 2005-12-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
Find all providers in zip 27834 |
Taxonomy Code | 364SP0809X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Psych/Mental Health, Adult |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023393410 | Cathy Showfety Inc. | Clinical Nurse Specialist | 408 1/2 State St, Greensboro, NC 27405-5657 | 2011-10-17 |
1699078246 | Mary Lynn Piven | Clinical Nurse Specialist | 365 Highway 87 N, Pittsboro, NC 27312 | 2010-12-20 |
1316130990 | Kelly L Smedley | Clinical Nurse Specialist | 5318 Highgate Dr Ste 231, Durham, NC 27713-6631 | 2007-08-27 |
1922210558 | William Garrett Stone | Clinical Nurse Specialist | 309 W Weaver St, Suite 200, Carrboro, NC 27510-6005 | 2007-05-04 |
1609992007 | Carol Faye Peindl | Clinical Nurse Specialist | 12617 Kencot Ct, Huntersville, NC 28078-5715 | 2007-03-21 |
1679667133 | Deborah Herring Perry | Clinical Nurse Specialist | 208 Malloy Street, Unit E, Goldsboro, NC 27534 | 2006-10-02 |
1154374478 | Bonnie Kennedy | Clinical Nurse Specialist | 3518 Drawbridge Pkwy, Greensboro, NC 27410-8432 | 2006-05-18 |
1730152620 | Marianne Mciver | Clinical Nurse Specialist | 234 E Raleigh St, Siler City, NC 27344-3416 | 2006-02-10 |
1194335224 | Teresa Lorraine Fuller | Clinical Nurse Specialist | 130 Carbonton Rd, Sanford, NC 27330-4009 | 2020-08-04 |
1699398529 | Gina Bourne | Clinical Nurse Specialist | 227 N Main St Ste A, Troy, NC 27371-3059 | 2020-05-27 |
Find all providers with the same taxonomy |
City | GREENVILLE |
Zip Code | 27834 |
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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.