THOMAS E WALLS (NPI# 1245773084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245773084 |
| Entity Type | Individual |
| Full Name | THOMAS E WALLS |
| Practice Address |
3075 N Windsong Dr Ste A Prescott Valley AZ 86314 |
| Mailing Address |
3075 N Windsong Dr Ste A Prescott Valley AZ 86314-1208 |
| Practice Telephone | 9283508780 |
| Practice Fax Number | 8886741228 |
| Mailing Telephone | 9283508780 |
| Mailing Fax Number | 8886741228 |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2018-06-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN192472 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 425 E Gurley St, Prescott, AZ 863013805 | 9284587583 | 8773196131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407105745 | Thomas Walls | Pharmacist | 1615 Delaware St, Longview, WA 98632-2367 | 2012-08-31 |
| 1730349770 | Thomas Walls | Emergency Medicine | 1600 Sw Archer Rd, Department of Emergency Medicine, Gainesville, FL 32610-3003 | 2008-06-12 |
| 1740486760 | Thomas Harl Walls Jr. | Optometrist | 443 Cool Springs Blvd, Suite 120, Franklin, TN 37067-4629 | 2007-06-26 |
| Street Address |
3075 N WINDSONG DR STE A |
| City | PRESCOTT VALLEY |
| State | AZ |
| Zip Code | 86314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548571235 | Patricia Louise Benard-walls | Nurse Practitioner | 3075 N Windsong Dr Ste A, Prescott Valley, AZ 86314 | 2010-06-28 |
| 1427569110 | Jonathan Park Buckwalter | Registered Nurse | 3075 N Windsong Dr Ste A, Prescott Valley, AZ 86314-1208 | 2017-10-20 |
| 1447769278 | Prescott Quick Care LLC | Family Medicine | 3075 N Windsong Dr Ste A, Prescott Valley, AZ 86314 | 2017-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992326029 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 3001 N. Mountain View Rd, Prescott Valley, AZ 86314 | 2020-04-29 |
| 1124666516 | Best Care Behavioral Homes LLC | Community/Behavioral Health | 5385 W Saddleback Drive, Prescott Valley, AZ 86314 | 2019-12-16 |
| 1912541558 | The Stateserv Companies, LLC | Durable Medical Equipment & Medical Supplies | 8926 E. Long Mesa Drive, Prescott Valley, AZ 86314 | 2019-11-06 |
| 1003398983 | Richard Telck | Pharmacist | 7720 E. Highway 69, Prescott Valley, AZ 86314 | 2018-09-06 |
| 1912493065 | Akdhc,llc | Internal Medicine | 7862 E Florentine Rd, Suite 120, Prescott Valley, AZ 86314 | 2018-07-02 |
| 1700377983 | Pronghorn Psychiatry | Clinic/Center | 5940 E. Copper Hill Dr, Suite E, Prescott Valley, AZ 86314 | 2018-05-23 |
| 1689185126 | Thumb Butte Urgent Care | Clinic/Center | 6496 East Highway 69, Prescott Valley, AZ 86314 | 2017-10-23 |
| 1740738046 | Janine Kauffmann | Pharmacist | 7720 East Highway 69, Prescott Valley, AZ 86314 | 2016-09-14 |
| 1528415650 | Nazcare, Inc. | Exclusive Provider Organization | 8200 E. Jacque Dr., Prescott Valley, AZ 86314 | 2016-05-18 |
| 1184087009 | William Beverly | Marriage & Family Therapist | 8603 E. Eastridge Dr., Ste A, Prescott Valley, AZ 86314 | 2016-03-29 |
| Find all providers in zip 86314 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522267 | Holly Ann Allred | Nurse Practitioner | 6386 E Ashton Pl, Prescott Valley, AZ 86314-4253 | 2020-09-14 |
| 1093283483 | Kelly L Marshall | Nurse Practitioner | 7700 E Floretine Rd, Building B Ste 101, Prescott Valley, AZ 86314-2245 | 2018-11-05 |
| 1982944344 | Heidi Read Fnp-bc Pllc | Nurse Practitioner | 8196 E Florentine Rd Ste B1, Prescott Valley, AZ 86314-8485 | 2013-02-22 |
| 1548571235 | Patricia Louise Benard-walls | Nurse Practitioner | 3075 N Windsong Dr Ste A, Prescott Valley, AZ 86314 | 2010-06-28 |
| 1245390376 | Jeanie M Wildes | Nurse Practitioner | 7880 E Florentine Rd, Prescott Valley, AZ 86314-2216 | 2006-12-11 |
| 1619952413 | Milda Harriet Rogers | Nurse Practitioner | 3221 N Windsong Dr, Prescott Valley, AZ 86314-1222 | 2005-12-14 |
| 1356340707 | David R Briant | Nurse Practitioner | 8046 E Yavapai Rd, Prescott Valley, AZ 86314-8442 | 2005-07-19 |
| 1073139200 | Laura Finkbeiner | Nurse Practitioner | 7700 E Florentine Rd Ste 101, Prescott Valley, AZ 86314-2245 | 2020-06-23 |
| 1063070241 | Branyan Decarlo Garcia | Nurse Practitioner | 3151 N Windsong Dr, Prescott Valley, AZ 86314-2240 | 2019-06-03 |
| 1982127643 | Timothy Lee Mcghee | Nurse Practitioner | 3088 N Robert Rd, Prescott Valley, AZ 86314 | 2017-07-24 |
| Find all providers in PRESCOTT VALLEY | ||||
| City | PRESCOTT VALLEY |
| Zip Code | 86314 |
Please comment or provide details below to improve the information on THOMAS E WALLS.
| 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.