JOANNA OLIVER WALLS (NPI# 1508300922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508300922 |
| Entity Type | Individual |
| Full Name | JOANNA OLIVER WALLS |
| Credential | MSN, FNP-C |
| Practice Address |
206 W Rockwell Ave #100 Soldotna AK 99669-7439 |
| Practice Telephone | 9072627566 |
| Mailing Telephone | 9072627566 |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2016-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 117672 | AK | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | R888969 | MS | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
117654 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
901842 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
206 W ROCKWELL AVE #100 |
| City | SOLDOTNA |
| State | AK |
| Zip Code | 99669-7439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154334381 | Lavern R Davidhizar | Family Medicine | 206 W Rockwell Ave, Suite 100, Soldotna, AK 99669-7411 | 2006-08-15 |
| 1730459389 | Jolynn Montgomery | Physician Assistant | 206 W Rockwell Ave, Ste 100, Soldotna, AK 99669-7411 | 2012-01-12 |
| 1376791707 | Peninsula Neurology LLC | Psychiatry & Neurology | 206 W Rockwell Ave, Ste 100, Soldotna, AK 99669-7411 | 2008-08-27 |
| 1073701421 | Family Medical Clinic | Anesthesiology | 206 W Rockwell Ave, Suite 100, Soldotna, AK 99669-7411 | 2007-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881201226 | Kyle Arron Shassetz | Counselor | 43335 K-beach Rd., Soldotna, AK 99669 | 2020-09-29 |
| 1720614993 | Peninsula Instacare | Clinic/Center | 34581 Kenai Spur Hwy, Suite 1, Soldotna, AK 99669 | 2020-03-19 |
| 1871141077 | Alaine Viola Lagasse | Counselor | Kenai Vet Center, 43299 Kalifornsky Beach Road Ste 4, Soldotna, AK 99669 | 2019-08-30 |
| 1962970574 | Ryder R Storm | Behavior Technician | 338800 Community College Drive, Suite 1, Soldotna, AK 99669 | 2018-11-13 |
| 1356821540 | Tanecia Webster | Nurse Practitioner | 36570 Kenai Spur Hwy, Ste 103a, Soldotna, AK 99669 | 2018-08-16 |
| 1821519869 | Theresa Napolitano | Case Manager/Care Coordinator | 35477 Kenai Spur Hwy Suite 203, Soldotna, AK 99669 | 2017-06-29 |
| 1689048282 | Jeanne Bignell | Licensed Practical Nurse | 35020 Alaskan View Lane, Soldotna, AK 99669 | 2015-11-19 |
| 1952786105 | Ian Charles Mcmullen | Pharmacist | 44001 Sterling Highway, Soldotna, AK 99669 | 2015-07-29 |
| 1841679933 | Lana Clymer | Case Manager/Care Coordinator | 22994 Kalifornsky Beach Rd, Soldotna, AK 99669 | 2015-05-22 |
| 1861800773 | Phillip Bruce | Physical Therapy Assistant | 35105 Kenai Spury Hwy, Suite A, Soldotna, AK 99669 | 2014-07-24 |
| Find all providers in zip 99669 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789322 | Halley Marie Fondren | Nurse Practitioner | Page Street, Soldotna, AK 99669-2634 | 2019-09-19 |
| 1376066993 | K-beach Medical Inc. | Nurse Practitioner | 43335 Kalifornsky Beach Rd Ste 18, Soldotna, AK 99669-8250 | 2017-07-25 |
| 1306195102 | Matthew J May | Nurse Practitioner | 240 Hospital Pl Ste 103, Soldotna, AK 99669-7559 | 2012-09-07 |
| 1396054060 | Kristen Leigh Coletti Giesler | Nurse Practitioner | 37060 Conner Rd, Soldotna, AK 99669-8101 | 2010-09-29 |
| 1154492643 | Steven L Smalling | Nurse Practitioner | 265 N Binkley St, Soldotna, AK 99669-7523 | 2006-11-13 |
| 1063429223 | Barbara A Hagie | Nurse Practitioner | 250 Hospital Place, Pain Management Clinic, Soldotna, AK 99669-7714 | 2006-08-01 |
| 1386206647 | Sarah Allen Phillips | Nurse Practitioner | 291 N Fireweed St, Soldotna, AK 99669-7540 | 2019-07-07 |
| 1437518941 | Margaret Marie Westner | Nurse Practitioner | 230 E Marydale Ave, Soldotna, AK 99669-7648 | 2016-02-12 |
| 1386020352 | Stacy Newbern | Nurse Practitioner | 250 Hospital Pl, Soldotna, AK 99669-7559 | 2015-07-31 |
| 1558681734 | Anna A. Boutwell | Nurse Practitioner | 247 N Fireweed St Ste A, Soldotna, AK 99669-7593 | 2010-06-10 |
| Find all providers in SOLDOTNA | ||||
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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.