DR. JUDITH ANN WALTERS (NPI# 1811050909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811050909 |
| Entity Type | Individual |
| Full Name | DR. JUDITH ANN WALTERS |
| Credential | RN |
| Practice Address |
9990 Coconut Rd Estero FL 34135-8488 |
| Mailing Address |
4526 Sw 1st Ave Cape Coral FL 33914-8340 |
| Practice Telephone | 2393146417 |
| Mailing Telephone | (239) 314-6417 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
CNS9349898 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
484602 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4526 Sw 1st Ave, Cape Coral, FL 339148340 | (239) 314-6417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295857035 | Judith R. Walters | Speech-Language Pathologist | 2202 Se Opal Way, Stuart, FL 34997-6516 | 2007-04-04 |
| 1427145093 | Judith Dawn Walters | Physical Medicine & Rehabilitation | 4350 St Andrews Rd, Ste D Columbia Rehabilitation Clinic, Columbia, SC 29210-4169 | 2006-10-06 |
| 1962601187 | Judith Kay Walters | Marriage & Family Therapist | 2945 Mcmillan Ave, Ste. 136, San Luis Obispo, CA 93401-6766 | 2007-07-17 |
| 1235209339 | Judith Christina Walters | Psychologist | 6346 Orchard Lake Rd, Ste. 12, West Bloomfield, MI 48322-2326 | 2006-11-08 |
| Street Address |
9990 COCONUT RD |
| City | ESTERO |
| State | FL |
| Zip Code | 34135-8488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740768415 | Kevin&jean,inc. | Home Health Aide | 9990 Coconut Rd, Estero, FL 34135-8488 | 2018-08-03 |
| 1083079115 | Mental Wellness Group, LLC | Social Worker | 9990 Coconut Rd, Estero, FL 34135-8488 | 2015-12-16 |
| 1003155920 | Jill Rae Brewer | Social Worker | 9990 Coconut Rd, Estero, FL 34135-8488 | 2013-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063022051 | Td Dental Group LLC | Clinic/Center | 28410 Crossing Blvd, Suit 230, Bonita Springs, FL 34135 | 2020-08-04 |
| 1619591096 | Lucinda Zagnoli | Counselor | 3501 Health Center Blvd Suite 2140, Bonita Springs, FL 34135 | 2020-06-02 |
| 1124649512 | Samantha S Wadas | Occupational Therapist | Solaris Rehab, LLC, 9520 Bonita Beach Rd Se, Bonita Springs, FL 34135 | 2020-04-27 |
| 1245710409 | Carrie Silverman | Hearing Instrument Specialist | 8951 Bonita Beach Rd Se Ste 240, Bonita Springs, FL 34135 | 2018-08-17 |
| 1124513593 | Lee Memorial Health System | Pharmacy | 23450 Via Coconut Point, Estero, FL 34135 | 2018-06-27 |
| 1801303540 | Lee Tasha Perez | Acupuncturist | 8840 Terrene Ct Ste 101, Bonita Springs, FL 34135 | 2018-01-03 |
| 1164942686 | Mind/mood Counseling & Coaching Centers of Swfl, Pllc | Community/Behavioral Health | 9990 Coconut Road, Attn. Emily - Bes Manager, Bonita Springs, FL 34135 | 2017-06-26 |
| 1699295691 | Alfa Brothers Group | Durable Medical Equipment & Medical Supplies | 28161 Pine Haven Way, Apt 135, Bonita Springs, FL 34135 | 2017-06-21 |
| 1992257919 | Lillian Mary Catherine Lienhardt | Physician Assistant | 27390 Tennesse Street, Bonita Springs, FL 34135 | 2016-10-25 |
| 1104277623 | American Spine & Orthopeadic Institute, LLC | Orthopaedic Surgery | 3501 Health Center Blvd Ste 2430, Bonita Springs, FL 34135 | 2016-06-27 |
| Find all providers in zip 34135 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740511815 | Michelle Dan El Carr | Clinical Nurse Specialist | 902 Marlene Dr, Ocoee, FL 34761-3228 | 2010-01-28 |
| 1639403173 | Ida Lou Mercer | Clinical Nurse Specialist | 4024 Central Ave., St. Petersburg, FL 33733-0970 | 2009-10-01 |
| 1881866937 | Katherine Ntekim | Clinical Nurse Specialist | 8250 Sw 40th St, Suite C, Miami, FL 33155-3335 | 2008-03-28 |
| 1336329002 | Building New Horizons, Inc. | Clinical Nurse Specialist | 2843 Alt 19, Palm Harbor, FL 34683-1926 | 2007-11-09 |
| 1477657831 | Rebecca Dunn | Clinical Nurse Specialist | 2015 N Central Ave, Tampa, FL 33602 | 2006-09-07 |
| 1891332425 | Michelle Dan El Carr Inc | Clinical Nurse Specialist | 902 Marlene Dr, Ocoee, FL 34761-3228 | 2019-12-02 |
| 1265716401 | Emma Wood | Clinical Nurse Specialist | 100 N Main St, Chattahoochee, FL 32324-1107 | 2011-10-06 |
| 1740595271 | Pam Rillstone, Phd, Cns, Bc, Ct, Pllc | Clinical Nurse Specialist | 6817 Southpoint Pkwy, Ste 304, Jacksonville, FL 32216-6282 | 2010-08-09 |
| 1851557748 | Elizabeth Simoes | Clinical Nurse Specialist | 10000 Bay Pines Blvd, Bay Pines, FL 33744 | 2008-07-31 |
| 1265699854 | A Susan Nelson, Arnp, Inc. | Clinical Nurse Specialist | 1711 Nw Federal Hwy, Stuart, FL 34994-9631 | 2008-05-21 |
| Find all providers with the same taxonomy | ||||
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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.