DR. ERICA JANE WALTERS (NPI# 1124540828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124540828 |
| Entity Type | Individual |
| Full Name | DR. ERICA JANE WALTERS |
| Credential | DDS |
| Practice Address |
309 Holly Ln Mankato MN 56001 |
| Mailing Address |
309 Holly Ln Mankato MN 56001-5422 |
| Practice Telephone | 3202918831 |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2018-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
D14097 | MN | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578124335 | Erica L Walters | Developmental Therapist | 307 Pleasant View Ave, Willow Street, PA 17584-9704 | 2019-06-24 |
| 1528376142 | Erica Lynn Walters | Licensed Practical Nurse | 1925 Fattler Ridge Rd, Philo, OH 43771-9603 | 2010-09-16 |
| 1235660812 | Erica E.s. Walters | Pediatrics | 905 Main St, Milford, OH 45150-5049 | 2017-03-24 |
| 1326588005 | Erica Walters | Physical Therapist | 6425 Richmond Rd, Williamsburg, VA 23188-7202 | 2017-03-01 |
| 1699197244 | Erica Anne Walters | Nurse Anesthetist, Certified Registered | 6401 France Ave S, Edina, MN 55435-2104 | 2014-01-16 |
| 1033421938 | Erica Walters | Emergency Medicine | 3 Century Dr, Parsippany, NJ 07054-4610 | 2010-07-08 |
| Street Address |
309 HOLLY LN |
| City | MANKATO |
| State | MN |
| Zip Code | 56001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528063955 | Dawn Marie Stavish | Dentist | 309 Holly Ln, Mankato, MN 56001-5422 | 2005-06-13 |
| 1336753227 | Abigail Malmanger | Dentist | 309 Holly Ln, Mankato, MN 56001-5422 | 2020-09-08 |
| 1831701515 | Sarah Rose Petersen | Social Worker | 309 Holly Ln, Mankato, MN 56001-5422 | 2020-08-23 |
| 1295344018 | Cori Lynn Wasz | Nurse Practitioner | 309 Holly Ln, Mankato, MN 56001-5422 | 2020-07-28 |
| 1295359313 | Coleman A Straiton | Nurse Practitioner | 309 Holly Ln, Mankato, MN 56001-5422 | 2020-06-04 |
| 1881228823 | Lindsey Louise Konchar | Social Worker | 309 Holly Ln, Mankato, MN 56001-5422 | 2020-02-28 |
| 1316500275 | Deanna Leigh Collins | Nurse Practitioner | 309 Holly Ln, Mankato, MN 56001-5422 | 2019-04-17 |
| 1194289678 | Jessica Hadler | Dental Hygienist | 309 Holly Ln, Mankato, MN 56001 | 2019-01-29 |
| 1033684451 | Caylin Colleen Cedergren | Social Worker | 309 Holly Ln, Mankato, MN 56001-5422 | 2018-10-11 |
| 1346730033 | Stephanie Marie Swam | Dentist | 309 Holly Ln, Mankato, MN 56001-5422 | 2018-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935435 | Kelly Nicole Ricke | Physical Medicine & Rehabilitation | 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 | 2020-09-03 |
| 1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
| 1720631716 | Dovetail Traslation LLC | Interpreter | 212 Dublin Ct, Same As Above, Mankato, MN 56001 | 2019-07-19 |
| 1093377871 | Lindsey Keithahn | Counselor | 2100 Bassett Drive, Mankato, MN 56001 | 2019-07-02 |
| 1255803813 | Amy Marie Williams | Acupuncturist | 709 S. Front Street, Suite 5, Mankato, MN 56001 | 2018-12-20 |
| 1518437573 | Ashley Blanchard | Acupuncturist | Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 | 2018-12-03 |
| 1831687235 | Christian Goetz | Specialist/Technologist | 401-477 South Rd, Mankato, MN 56001 | 2018-05-01 |
| 1366949141 | Minnesota State College and Universities | Specialist/Technologist | 135 Myers Field House, Mankato, MN 56001 | 2018-04-09 |
| 1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
| 1972014231 | Rylee Wagner | Speech-Language Pathologist | Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2017-10-13 |
| Find all providers in zip 56001 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076073 | Rae Ann Ann Swanson | Dentist | 755 Florida Ave S, Minneapolis, MN 55426-1784 | 2020-09-02 |
| 1083178149 | Lift Dental Pllc | Dentist | 124 2nd St S Ste 101, Stillwater, MN 55082-5179 | 2019-01-23 |
| 1669842662 | Children's Dental Services | Dentist | 229 W Lake St, Chisholm, MN 55719 | 2015-10-02 |
| 1407224827 | Children's Dental Services | Dentist | 325 N Sibley Ave, Litchfield, MN 55355-2150 | 2015-09-02 |
| 1194095778 | Matthew Allen Olson | Dentist | 715 11th St N Ste 106b, Moorhead, MN 56560-2000 | 2012-01-12 |
| 1801118039 | Omar Dyab Dds Pa | Dentist | 13590 Northdale Blvd, Suite 300, Rogers, MN 55374-2150 | 2010-02-15 |
| 1407973605 | Childrens Dental Services Inc | Dentist | 636 Broadway St. Ne, Minneapolis, MN 55413 | 2007-03-23 |
| 1437287679 | Mississippi Headwaters Area Dental Health Center, Inc. | Dentist | 616 America Ave Nw Ste 340, Attention Mary Marchell, Bemidji, MN 56601-3871 | 2007-03-01 |
| 1205991866 | Fergus Falls Dental Group | Dentist | 1121 Pebble Lake Rd, Fergus Falls, MN 56537 | 2006-12-26 |
| 1437238052 | Tracey Roseann Charles | Dentist | 9345 Calypso Trail Nw, Bemidji, MN 56601 | 2006-11-03 |
| Find all providers with the same taxonomy | ||||
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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.