BEN L WALTERS (NPI# 1184234411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184234411 |
| Entity Type | Individual |
| Full Name | BEN L WALTERS |
| Credential | ED.S. |
| Practice Address |
2871 Agnes St Idaho Falls ID 83402-5639 |
| Practice Telephone | 2082702716 |
| Mailing Telephone | 2082702716 |
| Enumeration Date | 2020-08-02 |
| Last Update Date | 2020-08-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
563139723 | ID | Behavioral Health & Social Service Providers |
| Street Address |
2871 AGNES ST |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83402-5639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648015 | Abigail Oakley | Counselor | Tueller Counseling Services, 2275 W Broadway Suite G, Idaho Falls, ID 83402 | 2020-10-30 |
| 1265041479 | Fresenius Medical Care Snake River | Clinic/Center | 3195 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-24 |
| 1295352391 | Fresenius Medical Care Idaho Falls, LLC | Clinic/Center | 3193 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-06 |
| 1952923765 | Sterling Provider Group | Clinic/Center | 7017 Daisy Lane, Idaho Falls, ID 83402 | 2020-05-14 |
| 1528604188 | Leslie Hendrian | Massage Therapist | 86 N Kaylee Circle, Idaho Falls, ID 83402 | 2019-11-19 |
| 1154966760 | Christine Nicole Cardona | Counselor | 855 N. Captital Ave Ste 1, Idaho Falls, ID 83402 | 2019-11-07 |
| 1750847786 | Brandi S Warnke | Social Worker | 254 E Street, Suite B, Idaho Falls, ID 83402 | 2019-02-14 |
| 1013402809 | Kailey Lynn Moore | Pharmacist | 376 West 18th Street, Idaho Falls, ID 83402 | 2018-06-25 |
| 1407368616 | Jessica Owsley | Social Worker | 2275 W Broadway Ste G, Idaho Falls, ID 83402 | 2017-10-27 |
| 1427419886 | Becky Allen | Developmental Therapist | 150 Shoupe Ave, Idaho Falls, ID 83402 | 2016-03-14 |
| Find all providers in zip 83402 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622321 | Jessica Michelle Wilson-lucero | Psychologist | 395 1/2 Willard Ave, Pocatello, ID 83201-4524 | 2020-09-03 |
| 1629550405 | Tracey Hocevar | Psychologist | 2325 W Aspen Cove Cir, Meridian, ID 83642-6519 | 2018-08-29 |
| 1740708304 | Paige Robson | Psychologist | 9750 Soreng Avenue, Schiller Park, ID 60176 | 2017-09-05 |
| 1992105522 | Tammi Lynn Beck | Psychologist | 961 S 50 W, Burley, ID 83318-5610 | 2014-09-02 |
| 1760602213 | Snake River School District 52 | Psychologist | 918 West Highway 39, Blackfoot, ID 83221-6065 | 2007-04-26 |
| 1104066059 | Heidi Aldous | Psychologist | 2995 N Cole Rd, Suite 255, Boise, ID 83704-5964 | 2009-03-04 |
| 1811185853 | Molly C. Joyce | Psychologist | 2995 N Cole Rd, Suite 255, Boise, ID 83704-5964 | 2007-10-03 |
| 1750584462 | Tammy Labonne | Psychologist | 2995 N Cole Rd, Boise, ID 83704-5964 | 2007-06-08 |
| 1508989237 | Gwen E. Mitchell | Psychologist | 129 W 3rd St, Moscow, ID 83843-2268 | 2007-04-09 |
| City | IDAHO FALLS |
| Zip Code | 83402 |
Please comment or provide details below to improve the information on BEN L 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.