DR. TYRONGILIA QUEREESE WALTON (NPI# 1710242458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710242458 |
| Entity Type | Individual |
| Full Name | DR. TYRONGILIA QUEREESE WALTON |
| Credential | DNP |
| Practice Address |
228 Starlyn Ave New Albany MS 38652-2428 |
| Mailing Address |
Po Box 611 New Albany MS 38652-0611 |
| Practice Telephone | 6625397383 |
| Practice Fax Number | 6625397661 |
| Mailing Telephone | 6625397383 |
| Mailing Fax Number | 6625397661 |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2018-06-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R871879 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | MEDICARE | 272046ZWX3 | 01 |
| MS | 07630093 | 05 |
| Street Address |
228 STARLYN AVE |
| City | NEW ALBANY |
| State | MS |
| Zip Code | 38652-2428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730390618 | Hometown Express Care, P.C. | Clinic/Center | 228 Starlyn Ave, New Albany, MS 38652-2428 | 2007-05-24 |
| 1861957508 | Marilyn Smith | Nurse Practitioner | 228 Starlyn Ave, New Albany, MS 38652-2428 | 2019-02-06 |
| 1710437074 | Walton Family Care Clinic, LLC | Nurse Practitioner | 228 Starlyn Ave, New Albany, MS 38652-2428 | 2016-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427657592 | Bradford Keith Goodwin | Pharmacist | 225 Hwy 30 W, New Albany, MS 38652 | 2020-10-20 |
| 1093228553 | Warren Pharmacy Enterprise, LLC | Pharmacist | 140 Fairfield Dr, New Albany, MS 38652 | 2017-11-07 |
| 1649798877 | Mary Ray Craig | Pharmacist | Fred's Pharmacy 126 W. Main St., New Albany, MS 38652 | 2017-09-08 |
| 1497299135 | Trina Health of New Albany, Inc | Clinic/Center | 608 West Bankhead Street, New Albany, MS 38652 | 2016-12-15 |
| 1386046472 | Renal Care Group Tupelo, LLC | Clinic/Center | 925 Denmill Rd., New Albany, MS 38652 | 2014-09-19 |
| 1104231695 | Kyle Kimbrough | Physician Assistant | 1568 Hwy 178 E, New Albany, MS 38652 | 2014-06-24 |
| 1073883062 | Reeda Greer Lyons | General Practice | 1009 County Road 341, New Albany, MS 38652 | 2012-01-06 |
| 1558670802 | West Union Family Clinic | Clinic/Center | 1561 St Hwy 30 W, New Albany, MS 38652 | 2010-10-05 |
| 1629240437 | Dr. Terry M. Joslin | Optometrist | 103 East Bankhead St., New Albany, MS 38652 | 2008-04-01 |
| 1326253725 | Ronald L Rossetti | Dentist | 110 N Camp Ave, New Albany, MS 38652 | 2007-05-11 |
| Find all providers in zip 38652 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952901076 | Angela Holloway | Nurse Practitioner | 1316 County Road 94, New Albany, MS 38652-8556 | 2020-10-28 |
| 1588282933 | Laura Elizabeth Vargo | Nurse Practitioner | 6172 Ashtead Dr, New Albany, OH 43054-8773 | 2020-07-13 |
| 1033769245 | Rhagen Nelson | Nurse Practitioner | 210 State Highway 30 W, New Albany, MS 38652-3112 | 2019-09-19 |
| 1023572906 | Amber Rowan | Nurse Practitioner | 2857 Charlestown Rd Ste 100, New Albany, IN 47150-1998 | 2019-01-25 |
| 1649716937 | Carrie Rand | Nurse Practitioner | 413 Mills Ln, New Albany, IN 47150-4339 | 2017-01-11 |
| 1619413994 | Sarah Dodds | Nurse Practitioner | 815 E Market St, 300, New Albany, IN 47150-2917 | 2017-01-11 |
| 1609246909 | Brittany Michelle Payne | Nurse Practitioner | 1915 West Street, Suite B, New Albany, IN 47150-5083 | 2015-09-29 |
| 1215310180 | Bridgit Buchheit | Nurse Practitioner | 5121 Forest Dr Ste D, New Albany, OH 43054-7102 | 2015-07-09 |
| 1659784312 | Florence Stewart | Nurse Practitioner | 4055 Chelsea Grn W, New Albany, OH 43054-8960 | 2014-06-10 |
| 1831528405 | Megan Bierman | Nurse Practitioner | 815 E Market St Ste 300, New Albany, IN 47150-2917 | 2013-11-05 |
| Find all providers in NEW ALBANY | ||||
| City | NEW ALBANY |
| Zip Code | 38652 |
Please comment or provide details below to improve the information on DR. TYRONGILIA QUEREESE WALTON.
| 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.