MEREDITH WALTER (NPI# 1740736719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740736719 |
Entity Type | Individual |
Full Name | MEREDITH WALTER |
Credential | APN |
Practice Address |
4979 Indiana Ave Lisle IL 60532-3847 |
Mailing Address |
4979 Indiana Ave Ste 312 Lisle IL 60532-3850 |
Practice Telephone | 3123374150 |
Practice Fax Number | 3123374311 |
Mailing Telephone | 3123374150 |
Mailing Fax Number | 3123374311 |
Enumeration Date | 2016-08-30 |
Last Update Date | 2020-04-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0000000000 | IL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922046101 | Meredith A Walter | Nurse Practitioner | 10012 Kennerly Rd, Suite 301, Saint Louis, MO 63128-2197 | 2006-06-02 |
Street Address |
4979 INDIANA AVE |
City | LISLE |
State | IL |
Zip Code | 60532-3847 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275605438 | Michael Tantoco Argao | Optometrist | 4979 Indiana Ave, Ste 200, Lisle, IL 60532-3848 | 2006-11-14 |
1740813211 | Miller Correctional Care Optometry PC | Optometrist | 4979 Indiana Ave, Lisle, IL 60532 | 2020-02-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326675760 | Contemporary Wellness, LLC | Counselor | 4300 Commerce Court, Suite 300-9, Lisle, IL 60532 | 2020-03-25 |
1841825510 | Ih Lisle Opco, LLC | Skilled Nursing Facility | 2850 Ogden Avenue, Lisle, IL 60532 | 2020-03-03 |
1598305849 | Peter Sismour | Counselor | 4603 Main Street, Lisle, IL 60532 | 2020-01-14 |
1336634856 | Forward Emotion, LLC | Counselor | 3060 Ogden Ave Ste 102, Lisle, IL 60532 | 2018-06-27 |
1801397179 | David Rodemaker | Psychologist | 1500 Eisenhower Lane, Suite 300, Lisle, IL 60532 | 2018-02-22 |
1801325139 | Naperville Psychological Associates LLC | Psychologist | 6010 S Route 59, Suite B, Lisle, IL 60532 | 2017-06-09 |
1831649730 | Paige Diesner | Physician Assistant | 430 Warrenville Rd., Ste 300, Lisle, IL 60532 | 2016-10-04 |
1174978860 | Lisa Schaedler | Social Worker | 4774 Hill Trail Rd Apt 2c, Lisle, IL 60532 | 2016-04-29 |
1831578962 | Farah Budd | Occupational Therapist | 748 Riedy Rd, Lisle, IL 60532 | 2015-05-21 |
1649602822 | Marie Ann Markham Gonzalez | Developmental Therapist | 5629 Dover Dr, Lisle, IL 60532 | 2013-07-30 |
Find all providers in zip 60532 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841832292 | Kelly Karas-hedrick | Nurse Practitioner | 4613 Yender Ave, Lisle, IL 60532-1567 | 2019-10-16 |
1730620576 | Brittany Foote | Nurse Practitioner | 3033 Ogden Ave Ste 101, Lisle, IL 60532-1976 | 2017-03-13 |
1871039412 | Al U Sango | Nurse Practitioner | 420 Walnut Creek Ln Unit 3506, Lisle, IL 60532-1946 | 2017-01-06 |
1821530783 | Alane Kae Mcfadden | Nurse Practitioner | 550 Warrenville Rd Ste 300, Lisle, IL 60532-4311 | 2016-11-09 |
1053749135 | Karla W Anderson | Nurse Practitioner | 809 Ogden Ave, Lisle, IL 60532-1337 | 2013-10-28 |
1477744183 | Norma M Jackson | Nurse Practitioner | 650 Warrenville Rd, Suite 400, Lisle, IL 60532-4314 | 2007-08-07 |
1962629576 | Sylvia Monica Scrima | Nurse Practitioner | 550 Warrenville Road, Lisle, IL 60532 | 2007-04-18 |
1699281592 | Rachel L Benecke | Nurse Practitioner | 430 Warrenville Rd Ste 310, Lisle, IL 60532-1348 | 2017-12-14 |
1730690678 | Ashley Peters | Nurse Practitioner | 430 Warrenville Rd, Lisle, IL 60532-1348 | 2017-10-18 |
1912444233 | Kathleen Lenke | Nurse Practitioner | 3080 Ogden Ave, Suite 204, Lisle, IL 60532-1691 | 2017-01-24 |
Find all providers in LISLE |
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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.