MRS. ERICA TRAVONNE WALTER (NPI# 1659872646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659872646 |
| Entity Type | Individual |
| Full Name | MRS. ERICA TRAVONNE WALTER |
| Practice Address |
1845 N Green Acres Rd Fayetteville AR 72703-2615 |
| Mailing Address |
6151 W Grays Gap Rd Fayetteville AR 72704-7031 |
| Practice Telephone | 4797139879 |
| Mailing Telephone | 4797139879 |
| Enumeration Date | 2018-02-24 |
| Last Update Date | 2018-02-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
A1704206 | AR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902450695 | Erica Walter | Nurse Practitioner | 4590 Childrens Pl Fl 4, Saint Louis, MO 63110-1020 | 2019-07-31 |
| Street Address |
1845 N GREEN ACRES RD |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-2615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447309364 | Wade Kifer | Dentist | 1845 N Green Acres Rd, Fayetteville, AR 72703-2615 | 2007-01-09 |
| 1215305966 | Midtown Counseling | Community/Behavioral Health | 1845 N Green Acres Rd, Fayetteville, AR 72703-2615 | 2015-09-11 |
| 1366715658 | Client Focused Counseling | Community/Behavioral Health | 1845 N Green Acres Rd, Fayetteville, AR 72703-2615 | 2012-02-16 |
| 1962735803 | Jason Thorne | Counselor | 1845 N Green Acres Rd, Fayetteville, AR 72703-2615 | 2009-09-10 |
| 1811169451 | Sam Loc Wallace | Counselor | 1845 N Green Acres Rd, Fayetteville, AR 72703-2615 | 2008-03-24 |
| 1982806501 | Wade Kifer D.d.s., P.a. | Dentist | 1845 N Green Acres Rd, Fayetteville, AR 72703-2615 | 2007-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619583432 | Don Del-raye Jones | Counselor | 521 Rempstone Ln, Fayetteville, NC 28311-5501 | 2020-09-17 |
| 1023628278 | Quadiedra Amos | Counselor | 3675 Fallstaff Dr, Fayetteville, NC 28306-9079 | 2020-08-03 |
| 1699385963 | William Jones | Counselor | 4250 Clinton Rd Ste 102, Fayetteville, NC 28312-8517 | 2020-08-03 |
| 1952919573 | Bianca Thomas | Counselor | 2713 Lake Club Dr, Fayetteville, NC 28304-5349 | 2020-07-20 |
| 1962029546 | Deanna Dale Dunn | Counselor | 767 W North St Ste 112, Fayetteville, AR 72701-1865 | 2020-06-30 |
| 1053937490 | Balance Ground Counseling LLC | Counselor | 240 Lofty Eagle Ln, Fayetteville, GA 30214-3531 | 2020-06-22 |
| 1659994010 | Martanika Michelle Smith | Counselor | 351 Wagoner Dr Ste 105, Fayetteville, NC 28303-4608 | 2020-05-20 |
| 1477188985 | Qiana Tamieka Gatling | Counselor | 4417 Briton Cir, Fayetteville, NC 28314-2401 | 2020-03-04 |
| 1467086496 | The Pair Center for Couples Counseling Pllc | Counselor | 5085 Morganton Road, Suite 300, Fayetteville, NC 28314 | 2020-02-28 |
| 1194359182 | Meredith Leigh Kimbrough | Counselor | 31 E Center St Ste 210, Fayetteville, AR 72701-5391 | 2020-02-27 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on MRS. ERICA TRAVONNE WALTER.
| 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.