KALILA NICOLE WALTERS


Address: 8105 Ritchie Hwy, Pasadena, MD 21122-3905
Phone: 4435730564

KALILA NICOLE WALTERS (NPI# 1124466644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124466644
Entity Type Individual
Full Name KALILA NICOLE WALTERS
Credential PA-C
Practice Address 8105 Ritchie Hwy
Pasadena
MD 21122-3905
Mailing Address 5000 Cox Rd
Glen Allen
VA 23060-9263
Practice Telephone 4435730564
Mailing Telephone 8049685700
Enumeration Date 2013-06-06
Last Update Date 2018-03-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant C0005035 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 8105 RITCHIE HWY
City PASADENA
State MD
Zip Code 21122-3905

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447250600 Kathleen M. Oleary Nurse Practitioner 8105 Ritchie Hwy, Pasadena, MD 21122-3905 2005-07-28
1144709429 Leah Prescott Nurse Practitioner 8105 Ritchie Hwy, Pasadena, MD 21122-3905 2018-08-08
1902329576 Jordan Mcintosh Sibol Physician Assistant 8105 Ritchie Hwy, Pasadena, MD 21122-3905 2017-07-25
1740548718 Muhammad Imran Family Medicine 8105 Ritchie Hwy, Pasadena, MD 21122-3905 2012-04-27
1609006618 Dani Boulattouf Family Medicine 8105 Ritchie Hwy, Pasadena, MD 21122-3905 2009-07-24
1851529267 Sanjivani Avinash Kolge Internal Medicine 8105 Ritchie Hwy, Pasadena, MD 21122-3905 2009-06-24
1851546444 Nora Jean Bianco Physician Assistant 8105 Ritchie Hwy, Pasadena, MD 21122-3905 2008-11-24
1053565994 Laura Rose Cather Physician Assistant 8105 Ritchie Hwy, Pasadena, MD 21122-3905 2008-11-05
1396997136 Megan Kelley Mathias Physician Assistant 8105 Ritchie Hwy, Pasadena, MD 21122-3905 2008-10-10
1356476113 Kevin Gerard Seaman Emergency Medicine 8105 Ritchie Hwy, Pasadena, MD 21122-3905 2007-02-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740889211 Hyunji Lee Pharmacist 8107 Governor Ritchie Highway, Pasadena, MD 21122 2020-10-25
1538712625 Liri Fusha Clinic/Center 8221 Richie Hwy Suit #102, Pasadena, MD 21122 2019-07-18
1730649922 Barrett Arthur Tollenger Counselor 2825 Mountain Road, Suite 204, Pasadena, MD 21122 2019-03-22
1750849543 Bradley J Spoon Counselor 8028 Ritchie Highway St. 312, Pasadena, MD 21122 2019-03-11
1366916553 Brittney Byrd Behavior Technician 7759 Middlegate Ct, Pasadena, MD 21122 2019-01-22
1780154310 Amanda Ann Zeller Speech-Language Pathologist 8515 Jenkins Road, Pasadena, MD 21122 2018-11-27
1225531544 Anne Arundel-sca Surgicenter, LLC Clinic/Center 8109 Ritchie Hwy Ste 250, Pasadena, MD 21122 2018-03-13
1629577424 Anne Arundel Physician Group, LLC Obstetrics & Gynecology 18 Magothy Beach Road Suite A, Pasadena, MD 21122 2018-02-07
1063968261 Chinedu Ikpemo Pharmacist 8051 Fort Smallwood Rd, Pasadena, MD 21122 2016-08-28
1053728634 Wisecare, LLC Clinic/Center 33 Magothy Beach Rd, Suite 102-103, Pasadena, MD 21122 2014-07-16
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710593397 Elyssa Summer Mccormack Physician Assistant 275 N Oakland Ave Apt 2, Pasadena, CA 91101-1647 2020-09-19
1356951941 Emily Lynn Yang Physician Assistant 3219 Fairpoint St, Pasadena, CA 91107-1202 2020-08-07
1326675414 Melissa Real Physician Assistant 845 Wright Ave, Pasadena, CA 91104-4466 2020-03-26
1164064762 Nikita Phiroz Engineer Physician Assistant 4102 Woodlawn Ave Ste 210, Pasadena, TX 77504-1949 2019-10-15
1275189979 Robert Hennington Physician Assistant 111 Red Bluff Rd, Pasadena, TX 77506-1530 2019-08-18
1306329586 Sofia Fiona Knoppel-calas Physician Assistant 215 N Allen Ave, Pasadena, CA 91106-1601 2018-09-13
1598136517 Cara Kylie Jugant Physician Assistant 3450 Fairpoint St, Pasadena, CA 91107-1207 2015-10-16
1962870451 Christopher Fong Physician Assistant 455 W Montana St, Pasadena, CA 91103-1327 2015-09-14
1629451380 Mary Evelyn Smith Physician Assistant 2080 San Pasqual St, Pasadena, CA 91107-5157 2015-06-30
1861899445 Ryan Whitworth Physician Assistant 140 N Lake Ave, Pasadena, CA 91101-1836 2014-11-26
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Competitor

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City PASADENA
Zip Code 21122

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Dataset Information

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.

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