MRS. KATHLEEN B WALTON (NPI# 1801383963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801383963 |
Entity Type | Individual |
Full Name | MRS. KATHLEEN B WALTON |
Credential | FNP-C |
Practice Address |
3636 N Stockton Hill Rd Kingman AZ 86409-0514 |
Mailing Address |
3483 E Cody Ave Gilbert AZ 85234-2231 |
Practice Telephone | 9287573636 |
Practice Fax Number | 9287577224 |
Mailing Telephone | 4806205821 |
Enumeration Date | 2018-04-15 |
Last Update Date | 2018-04-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AP10917 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841473840 | Kathleen Mary Walton | Licensed Practical Nurse | 5353 N River Rd, Janesville, WI 53545-8325 | 2007-12-12 |
1720303886 | Kathleen Walton | Occupational Therapist | 145 Steffee Blvd, Seneca, PA 16346-3035 | 2010-04-01 |
Street Address |
3636 N STOCKTON HILL RD |
City | KINGMAN |
State | AZ |
Zip Code | 86409-0514 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174517767 | Kirsten Mortenson | Family Medicine | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 | 2005-09-09 |
1033729454 | Michelle Fletcher | Nurse Practitioner | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 | 2020-08-01 |
1558832154 | Karen Gwinn | Nurse Practitioner | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 | 2018-12-08 |
1063408649 | Aims Outpatient Surgery | Clinic/Center | 3636 N Stockton Hill Rd, Kingman, AZ 86409 | 2005-09-20 |
1306830948 | Arshad Tariq | Pediatrics | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 | 2005-09-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437695731 | Medical Laboratory Specialty, Inc | Clinical Medical Laboratory | 3636 St, Kingman, AZ 86409 | 2017-01-10 |
1003219007 | Premier Home Health Agency | Home Health | 3555 Western Ave, Kingman, AZ 86409 | 2014-10-03 |
1558774984 | Fernando Velez | Pharmacist | 2003 Roy Rogers Way, Kingman, AZ 86409 | 2014-06-03 |
1013227834 | Route 66 Cab Inc | Taxi | 3595 E Us Highway 66, Kingman, AZ 86409 | 2010-10-14 |
1740503374 | Route 66 Cab Inc. | Taxi | 3595 East Hwy 66, Kingman, AZ 86409 | 2010-03-10 |
1649409145 | Arizona Cvs Stores, L.L.C. | Durable Medical Equipment & Medical Supplies | 3501 Stockton Hill Rd, Kingman, AZ 86409 | 2009-07-07 |
1790922896 | Jack Cheng-tsung Hou | Urology | 1739 E Beverly Ave Ste 106, Kingman, AZ 86409 | 2009-01-12 |
1710184726 | Michele F Epstein | Internal Medicine | 3571 N Moore Street, Kingman, AZ 86409 | 2007-07-02 |
1013118306 | Conchita O Mercado | Dentist | 1101 Riata Valley Rd, Kingman, AZ 86409 | 2007-05-31 |
1366585945 | Deering Therapy Services Ltd | Occupational Therapist | 1841 Morrow Ave, Kingman, AZ 86409 | 2007-02-14 |
Find all providers in zip 86409 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306367842 | Jillian Marie Musick | Nurse Practitioner | 1111 Riata Valley Rd Ste B, Kingman, AZ 86409-3678 | 2017-07-06 |
1922645696 | Jennifer Ann Shade | Nurse Practitioner | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2019-12-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447864202 | Soma Care, LLC | Nurse Practitioner | 6944 E Broadway Rd Ste A, Mesa, AZ 85208-1916 | 2020-08-31 |
1497367403 | Daryl Lyons | Nurse Practitioner | 18095 W Santa Irene Dr, Goodyear, AZ 85338-5456 | 2020-08-20 |
1538787072 | Brijeshaben Urvish Patel | Nurse Practitioner | 13300 N 88th Ave Apt 2007, Peoria, AZ 85381-2614 | 2020-07-10 |
1043835424 | Us Live Clinic LLC | Nurse Practitioner | 12610 E Laurel Ln, Scottsdale, AZ 85259-3460 | 2020-06-11 |
1831713148 | Alexis Petra Md | Nurse Practitioner | 21835 N 51st St, Phoenix, AZ 85054-7140 | 2020-06-02 |
1245851955 | Amy Rachelle Dunn | Nurse Practitioner | 7563 E Plata Ave, Mesa, AZ 85212-9729 | 2020-05-04 |
1700407426 | Joan N Nunoo | Nurse Practitioner | 3852 E Santa Fe Ln, Gilbert, AZ 85297-8529 | 2020-05-04 |
1326675166 | Kendrick Wright | Nurse Practitioner | 2727 E Camelback Rd Apt 525, Phoenix, AZ 85016-4481 | 2020-03-23 |
1518591510 | Laura Larson | Nurse Practitioner | 1929 W Fillmore St Bldg C, Phoenix, AZ 85009-3812 | 2020-02-27 |
1538791512 | Silverleaf Health LLC | Nurse Practitioner | 20715 N Pima Rd Ste 108, Scottsdale, AZ 85255-6685 | 2020-02-07 |
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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.