DR. LAURA WALLS (NPI# 1336272426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336272426 |
| Entity Type | Individual |
| Full Name | DR. LAURA WALLS |
| Practice Address |
2600 Ferry St Lafayette IN 47904-3055 |
| Mailing Address |
Po Box 5545 Lafayette IN 47903-5545 |
| Practice Telephone | 7654488000 |
| Practice Fax Number | 7654487611 |
| Mailing Telephone | 7654488000 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2012-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 01070071A | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 4301083454 | MI | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PROVIDER NUMBER | 000000743091 | 01 |
| IN | 201045100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972513349 | Laura G Walls | Dentist | 533 West Church Street, Batesburg, SC 29006 | 2006-08-09 |
| 1972125482 | Laura Davis Walls | Registered Nurse | 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 | 2020-05-07 |
| 1104342294 | Laura C Walls | Nurse Practitioner | 1508 S Broad St Ste 300, Scottsboro, AL 35768-2668 | 2017-08-21 |
| 1457734006 | Laura Manuel Walls | Counselor | 301 Scott Ave, Morgantown, WV 26508-8804 | 2015-07-01 |
| 1497192595 | Laura Marie Walls | Physician Assistant | 1823 Ford St, Golden, CO 80401-2464 | 2013-05-29 |
| 1417135393 | Laura Ann Walls | Counselor | 172 Linden Dr Ste 111, Winchester, VA 22601-2892 | 2008-02-04 |
| Street Address |
2600 FERRY ST |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47904-3055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174524839 | Eric Marcus Orenstein | Orthopaedic Surgery | 2600 Ferry St, Lafayette, IN 47904-3055 | 2005-08-03 |
| 1972149359 | Paige Ubel | Occupational Therapy Assistant | 2600 Ferry St, Lafayette, IN 47904-3055 | 2019-11-21 |
| 1053953695 | Emily Ann Fusiek | Registered Nurse | 2600 Ferry St, Lafayette, IN 47904-3055 | 2019-10-15 |
| 1700428836 | Victoria Logan Mccain | Nurse Practitioner | 2600 Ferry St, Lafayette, IN 47904-3055 | 2019-10-10 |
| 1700361847 | Heather Richey | Physical Therapy Assistant | 2600 Ferry St, Lafayette, IN 47904-3055 | 2018-09-25 |
| 1588157218 | Shelby Lee Mitchell | Occupational Therapist | 2600 Ferry St, Lafayette, IN 47904-3055 | 2018-06-07 |
| 1649760885 | Elaine J Budreau | Registered Nurse | 2600 Ferry St, Lafayette, IN 47904 | 2018-05-14 |
| 1487172342 | Abhijeet Ahluwalia | Physical Therapist | 2600 Ferry St, Lafayette, IN 47904-3055 | 2017-08-31 |
| 1518482603 | Christine Annette Pattison | Physical Therapist | 2600 Ferry St, Lafayette, IN 47904-3055 | 2017-08-09 |
| 1013438407 | Pallavi Ram Shinde | Physical Therapist | 2600 Ferry St, Lafayette, IN 47904-3055 | 2017-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
| 1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
| 1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
| 1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
| 1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
| 1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
| 1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
| 1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
| 1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
| 1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
| Find all providers in zip 47904 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093170433 | Southcare Medical LLC | Pediatrics | 110 Curran Ln, Lafayette, LA 70506 | 2015-12-30 |
| 1639425523 | Deepa Vasireddy | Pediatrics | 7053 Johnston St, Lafayette, LA 70503-6305 | 2012-07-27 |
| 1215293147 | Mark Leclerc | Pediatrics | 3 Rimrock Rd, Lafayette, CA 94549-4924 | 2012-04-04 |
| 1578854196 | Geneva Marie Guidry Lejeune | Pediatrics | 200 Beaullieu Dr Ste 7, Lafayette, LA 70508-7230 | 2011-04-30 |
| 1174835631 | Durga P Naidu | Pediatrics | 4630 Ambassador Caffery Pkwy Ste 404, Lafayette, LA 70508-6951 | 2010-07-12 |
| 1427236108 | Children's Multi-specialty Group LLC | Pediatrics | 4704 Ambassador Caffery Parkway, Lafayette, LA 70508 | 2008-02-05 |
| 1841477726 | Diane Kramer Gordon | Pediatrics | 500 Patterson St, Lafayette, LA 70501-1849 | 2008-01-23 |
| 1477748861 | Lafayette Childrens Clinic LLC | Pediatrics | 5000 Ambassador Caffery Pkwy., # 12, Lafayette, LA 70508 | 2007-09-10 |
| 1639362650 | Kristine Falcon Chimento | Pediatrics | 107 Montrose Ave Ste D, Lafayette, LA 70503-3852 | 2007-08-22 |
| 1659577302 | Katherine Alexis Lindle | Pediatrics | 1460 S College Rd, Lafayette, LA 70503 | 2007-06-21 |
| Find all providers in LAFAYETTE | ||||
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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.