SARA WALTERS (NPI# 1104277813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104277813 |
| Entity Type | Individual |
| Full Name | SARA WALTERS |
| Credential | FNP |
| Practice Address |
645 Broadway Somerville MA 02145-2528 |
| Practice Telephone | 6176250006 |
| Practice Fax Number | 6176256644 |
| Mailing Telephone | 6176250006 |
| Mailing Fax Number | 6176256644 |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2017-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2299573 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629539911 | Sara Walters | Occupational Therapist | 1450 Claiborne Ave, Shreveport, LA 71103-4204 | 2019-03-28 |
| 1720509102 | Sara L Walters | Case Manager/Care Coordinator | 5400 Edalbert Dr, Cincinnati, OH 45239 | 2017-07-06 |
| 1346594132 | Sara Walters | Nurse Practitioner | 3950 S Rochester Rd, Ste 1200, Rochester Hills, MI 48307-5160 | 2012-11-01 |
| 1336447473 | Sara Walters | Pharmacist | 200 S Nappanee St, Elkhart, IN 46514-1952 | 2011-03-13 |
| Street Address |
645 BROADWAY |
| City | SOMERVILLE |
| State | MA |
| Zip Code | 02145-2528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366433666 | Parra Tomkins | Family Medicine | 645 Broadway, Ball Square, Somerville, MA 02145-2528 | 2005-11-04 |
| 1548607112 | Andrew James Chandler | Family Medicine | 645 Broadway, Somerville, MA 02145-2528 | 2013-05-23 |
| 1346403029 | Eva S. Zasloff | Family Medicine | 645 Broadway, Hallmark Health Medical Associates Inc, Somerville, MA 02145-2528 | 2008-07-03 |
| 1972536357 | Dialysis Clinic Inc. | Clinic/Center | 645 Broadway, Somerville, MA 02145-2528 | 2006-07-08 |
| 1730170036 | Vincent J Patalano Sr. | Family Medicine | 645 Broadway, Vincent J Patalano Md, Somerville, MA 02145-2528 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497230684 | Marisa Katherine Glynn | Psychologist | 35 Edgar Avenue, Somerville, MA 02145 | 2018-10-03 |
| 1811478274 | Rolanda Santos Prophete | Counselor | 18 Sargent Ave, Somerville, MA 02145 | 2018-08-23 |
| 1619465101 | Shannon Comer | Registered Nurse | 64 Sycamore St Apartment 1, Somerville, MA 02145 | 2018-04-30 |
| 1184121261 | Deborah Camara | Social Worker | 89 Cross Street, Apt 1, Somerville, MA 02145 | 2018-04-06 |
| 1073047569 | Nicole Patzelt | Dermatology | 192a School St Apt 2, Somerville, MA 02145 | 2017-04-12 |
| 1316327018 | Christina Gasbarro | Family Medicine | Cha Assembly Square Care Center, 5 Middlesex Avenue, Somerville, MA 02145 | 2015-06-08 |
| 1902236359 | Prativa Bhatta | Counselor | 76 Cross St, Somerville, MA 02145 | 2013-11-21 |
| 1427497015 | Veronica Wu | Physician Assistant | 60 Clyde Street, #5, Somerville, MA 02145 | 2013-06-18 |
| 1790045797 | Cambridge Health Alliance | Rehabilitation Unit | 2 Middlesex Avenue, Somerville, MA 02145 | 2012-05-23 |
| 1871809665 | Lauren Holland | Occupational Therapist | 5 Middlesex Avenue, Somerville, MA 02145 | 2010-08-31 |
| Find all providers in zip 02145 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744111 | Sarah L Patches | Nurse Practitioner | 40 Central St Unit 2, Somerville, MA 02143-2826 | 2020-09-09 |
| 1790315331 | Zachariah Zehler | Nurse Practitioner | 6800 Wayne Trace Rd, Somerville, OH 45064-9483 | 2020-01-23 |
| 1700238508 | Medical East of Decatur Inc | Nurse Practitioner | 4166 Highway 36 E, Somerville, AL 35670-5803 | 2016-07-06 |
| 1629453121 | Emily Brown | Nurse Practitioner | 440 Foley St, Somerville, MA 02145-1213 | 2015-07-25 |
| 1316354236 | Meghan Glynn | Nurse Practitioner | 51 Woods Ave, Somerville, MA 02144-1118 | 2014-07-14 |
| 1063850477 | Paula Lenore Walker | Nurse Practitioner | 25 Woodbridge, Suite A, Somerville, TN 38068 | 2013-06-07 |
| 1710280391 | Allie Win Collignon | Nurse Practitioner | 750 Broadway Apt 3, Somerville, MA 02144-2143 | 2010-12-21 |
| 1750556148 | Wilder Clinic, LLC | Nurse Practitioner | 201 Lakeview Rd, Suite A, Somerville, TN 38068-9742 | 2008-04-25 |
| 1164591566 | Elizabeth P Mcknight | Nurse Practitioner | 25 Woodbridge Rd, Somerville, TN 38068-1242 | 2006-11-07 |
| 1629018981 | Ashley O Pennington | Nurse Practitioner | 213 Lakeview Dr, Somerville, TN 38068 | 2006-06-07 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 02145 |
Please comment or provide details below to improve the information on SARA 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.