LYDIA MICHELLE WALTERS (NPI# 1396144135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396144135 |
Entity Type | Individual |
Full Name | LYDIA MICHELLE WALTERS |
Credential | FNP-C |
Practice Address |
30 Bullock Rd Laurel MS 39443-0956 |
Practice Telephone | 6012705219 |
Enumeration Date | 2014-08-18 |
Last Update Date | 2019-04-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NUR-APRN-LIC-124 | MT | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
30 BULLOCK RD |
City | LAUREL |
State | MS |
Zip Code | 39443-0956 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558713511 | Calhoun Medical Clinic, LLC | Family Medicine | 5135 Hwy 84w, Laurel, MS 39443 | 2016-07-01 |
1699154005 | Rachel Peterson | Speech-Language Pathologist | 2740 Pleasant Grove Rd, Laurel, MS 39443 | 2015-05-19 |
1114007994 | Marsha Myrick Sanders | Pharmacist | 15 Lakeshore Dr, Laurel, MS 39443 | 2006-10-16 |
1770068637 | Happy Feet | Nursing Care | 614 Chippewah Dr, Laurel, MS 39443 | 2018-09-26 |
1487261087 | William Andrew Harrelson | Student in an Organized Health Care Education/Training Program | 215 Union Line Rd, Laurel, MS 39443-0772 | 2020-09-28 |
1578634127 | Jones County School | Clinic/Center | 990 Highway 15 S, Laurel, MS 39443-0801 | 2006-11-13 |
1942689351 | Brittany Bell | Speech-Language Pathologist | 22 Bell Rd, Laurel, MS 39443-0921 | 2015-05-19 |
1447482237 | Jerry V Ridge | Counselor | 7 Line Rd, Laurel, MS 39443-2663 | 2009-08-13 |
1780816553 | Janet Powell Mcmillan | Nurse Practitioner | 69 Watertank Rd, Laurel, MS 39443-2954 | 2009-08-12 |
1922293364 | Theresa Mann | Respiratory Therapist, Registered | 73 Glade Circle Dr, Laurel, MS 39443-4722 | 2007-09-10 |
Find all providers in zip 39443 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881291870 | Fatoumata Ba | Nurse Practitioner | 9900 Washington Blvd N Ste L, Laurel, MD 20723-1972 | 2020-10-03 |
1396350484 | Serene Care Holdings | Nurse Practitioner | 14118 Bowsprit Ln Apt 806, Laurel, MD 20707-6318 | 2020-09-15 |
1649880626 | Oak Healthcare Services LLC | Nurse Practitioner | 11601 Duckettown Road, Laurel, MD 20708 | 2020-08-05 |
1003425844 | We Walk Together | Nurse Practitioner | 8406 Shadeland Rd, Laurel, MD 20724-1922 | 2020-07-28 |
1952919870 | Lauren Abbie Collins | Nurse Practitioner | 32504 Mount Pleasant Rd, Laurel, DE 19956-4246 | 2020-07-16 |
1215552302 | Ulrica Olayinka Mbayo | Nurse Practitioner | 3201 Orient Fishtail Rd, Laurel, MD 20724-2931 | 2020-06-15 |
1962027599 | Olive Mouafo | Nurse Practitioner | 10100 Snowdrift Downs, Laurel, MD 20723-5873 | 2020-06-09 |
1295355832 | Sonia Louis-lapierre | Nurse Practitioner | 9397 3rd St N, Laurel, MD 20723-1922 | 2020-04-23 |
1699311571 | Ijeoma D. Anyaibe | Nurse Practitioner | 8101 Sandy Spring Rd Ste 110, Laurel, MD 20707-3596 | 2019-11-26 |
1699311712 | Adebisi Allison | Nurse Practitioner | 9319 Player Dr, Laurel, MD 20708-3229 | 2019-11-24 |
Find all providers in LAUREL |
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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.