ALEXANDRA NICOLE WALTERS (NPI# 1316582687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316582687 |
| Entity Type | Individual |
| Full Name | ALEXANDRA NICOLE WALTERS |
| Credential | FNP-BC |
| Practice Address |
3545 W 95th St Evergreen Park IL 60805-2135 |
| Practice Telephone | 7083465562 |
| Practice Fax Number | 7083462059 |
| Mailing Telephone | 7083465562 |
| Mailing Fax Number | 7083462059 |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2019-11-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 020072 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306393681 | Alexandra Lynn Walters | Registered Nurse | 805 Harrison Ave, Natrona Heights, PA 15065-2517 | 2016-09-05 |
| 1215382510 | Alexandra Danielle Walters | Internal Medicine | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2016-04-25 |
| Street Address |
3545 W 95TH ST |
| City | EVERGREEN PARK |
| State | IL |
| Zip Code | 60805-2135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013941053 | Thomas Bump | Internal Medicine | 3545 W 95th St, Evergreen Park, IL 60805-2135 | 2006-07-10 |
| 1306330642 | Jeffrey Steven Mitchell | Nurse Practitioner | 3545 W 95th St, Evergreen Park, IL 60805-2135 | 2018-06-20 |
| 1578073888 | Chicago Heart and Vascular Centers LLC | Internal Medicine | 3545 W 95th St, Evergreen Park, IL 60805-2135 | 2017-10-02 |
| 1407133887 | Randa Dahdal | Pharmacist | 3545 W 95th St, Evergreen Park, IL 60805-2135 | 2011-11-13 |
| 1629355631 | Ourania Vassiliou | Pharmacist | 3545 W 95th St, Evergreen Park, IL 60805-2135 | 2011-11-04 |
| 1871734723 | Luay Rifai | Internal Medicine | 3545 W 95th St, Evergreen Park, IL 60805-2135 | 2009-03-23 |
| 1023259777 | Wassim Ballany | Internal Medicine | 3545 W 95th St, Evergreen Park, IL 60805-2135 | 2009-03-10 |
| 1477731685 | Consultants In Cardiology & Electrophysiololgy LLC | Internal Medicine | 3545 W 95th St, Evergreen Park, IL 60805-2135 | 2008-02-11 |
| 1629191051 | Ali Raza Zaidi | Internal Medicine | 3545 W 95th St, Evergreen Park, IL 60805-2135 | 2007-04-09 |
| 1811085889 | William H Spear | Internal Medicine | 3545 W 95th St, Evergreen Park, IL 60805 | 2006-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254603 | Cynthia Nicole Bucio | Pharmacist | 9400 S. Western, Evergreen Park, N/A 60805 | 2020-10-27 |
| 1124530456 | Foundations Counseling, LLC | Social Worker | 9730 S Western Ave Ste 215, Evergreen Park, IL 60805 | 2017-10-26 |
| 1184147886 | Luke Blaeser | Specialist/Technologist | 2856 W. 97th Pl., Evergreen Park, IL 60805 | 2017-07-25 |
| 1396193322 | Daniel Joseph Bierbaum Howard | Emergency Medicine | 2800 95th St, Emergency Department, Evergreen Park, IL 60805 | 2016-05-31 |
| 1588037873 | Lcr Primary Care LLC | Exclusive Provider Organization | 9237 S.pulaski, Ste. 2s, Evergreen Park, IL 60805 | 2015-11-09 |
| 1447639091 | Nancy Sanchez | Social Worker | 9832 S Utica Ave, Evergreen Park, IL 60805 | 2015-05-28 |
| 1629334743 | Harshad M. Mehta Md Sc | Psychiatry & Neurology | 2850 W. 95th Street, Suite 206, Evergreen Park, IL 60805 | 2012-04-03 |
| 1235407305 | Victoria T Adesina | Pharmacist | 8700 South Kedzie Ave, Evergreen Park, IL 60805 | 2011-12-05 |
| 1891072922 | Zahia-lena Refat Hussien | Pharmacist | 8700 S. Kedzie Ave, Evergreen Park, IL 60805 | 2011-11-03 |
| 1891079091 | Denise Adams | Occupational Therapy Assistant | 9217 S. Kedzie, Evergreen Park, IL 60805 | 2011-10-06 |
| Find all providers in zip 60805 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326494683 | Sarah Chewning | Nurse Practitioner | 2800 95th St., Evergreen Park, IL 60805-2701 | 2016-05-05 |
| 1730411737 | Michelle Renee Axium | Nurse Practitioner | 9354 S Albany Ave, Evergreen Park, IL 60805-2420 | 2010-02-02 |
| 1700435534 | Arrion Shelton | Nurse Practitioner | 2955 W 95th St, Evergreen Park, IL 60805-2409 | 2019-09-04 |
| 1376047480 | Deborah Murray | Nurse Practitioner | 2955 W 95th St, Evergreen Park, IL 60805-2409 | 2018-03-22 |
| 1316318736 | Carolyn Paulius | Nurse Practitioner | 2733 W 87th St, Evergreen Park, IL 60805-1104 | 2015-10-12 |
| 1265877997 | Little Company of Mary Hospital Inc | Nurse Practitioner | 2800 W 95th St, Evergreen Park, IL 60805-2701 | 2013-05-08 |
| 1720327166 | Eileen L. Manojlovic | Nurse Practitioner | 2800 W 95th St, Evergreen Park, IL 60805-2701 | 2013-02-05 |
| 1164577920 | Donna J. Calvin | Nurse Practitioner | 9730 S Western Ave, Neomedica Evergreen Park - Ckd Services, Evergreen Park, IL 60805-2814 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578523 | Kaitlin Lawson Kalnitz | Nurse Practitioner | 745 Mcclintock Dr Ste 360, Burr Ridge, IL 60527-0875 | 2020-11-06 |
| 1841890290 | Maria Malanych | Nurse Practitioner | 5731 Rosinweed Ln, Naperville, IL 60564-1635 | 2020-10-27 |
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1295334811 | Mary Farley | Nurse Practitioner | 7308 Northwood Dr, Wonder Lake, IL 60097-8606 | 2020-10-24 |
| 1164021168 | Stephanie Schuster | Nurse Practitioner | 2665 Prairieview Ln N, Aurora, IL 60502-6343 | 2020-10-21 |
| 1316546641 | Vanessa K Bajaj | Nurse Practitioner | 1123 N Claremont Dr, Palatine, IL 60074-4002 | 2020-10-19 |
| 1003414442 | Gachugu Medical Clinic | Nurse Practitioner | 1 E Ferguson Ave, Wood River, IL 62095-1903 | 2020-10-16 |
| 1477151272 | Yolanda K Bradford | Nurse Practitioner | 2700 S California Ave, Chicago, IL 60608-5108 | 2020-10-14 |
| 1265030019 | Andrea Mclean | Nurse Practitioner | 2500 W Reynolds St # 205, Pontiac, IL 61764-9774 | 2020-10-14 |
| 1558968628 | Timothy Nenoff | Nurse Practitioner | 24722 Lincolnway St, Plainfield, IL 60544-2412 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
| City | EVERGREEN PARK |
| Zip Code | 60805 |
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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.