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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C0005035 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8105 RITCHIE HWY |
| City | PASADENA |
| State | MD |
| Zip Code | 21122-3905 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 21122 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| 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 |
| Find all providers in PASADENA | ||||
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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.