MRS. PEGGY ANN WALTERS (NPI# 1851379382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851379382 |
| Entity Type | Individual |
| Full Name | MRS. PEGGY ANN WALTERS |
| Credential | RN FNP |
| Practice Address |
7 E Main St Gosport IN 47433 |
| Mailing Address |
7 East Main Street Gosport IN 47433-0009 |
| Practice Telephone | 8128794222 |
| Practice Fax Number | 8128794834 |
| Mailing Telephone | 8128794222 |
| Mailing Fax Number | 8128794834 |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2007-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71002258A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7 E MAIN ST |
| City | GOSPORT |
| State | IN |
| Zip Code | 47433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407207079 | Sarah Truax | Nurse Practitioner | 7 E Main St, Gosport, IN 47433-7034 | 2016-06-24 |
| 1245586718 | Sonya Kay Ruedlinger | Nurse Practitioner | 7 E Main St, Gosport, IN 47433-7034 | 2012-08-02 |
| 1619245909 | Cynthia L Colglazier | Nurse Practitioner | 7 E Main St, Gosport, IN 47433-7034 | 2011-12-01 |
| 1003074972 | Indiana University Health Southern Indiana Physicians, Inc | Clinic/Center | 7 E Main St, Gosport, IN 47433-7034 | 2008-05-28 |
| 1508062100 | Meredith Lulich | Internal Medicine | 7 E Main St, Gosport, IN 47433-7034 | 2007-06-21 |
| 1811949175 | John Stearley | Family Medicine | 7 E Main St, Gosport, IN 47433-7034 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750585766 | Gosport Care, Inc. | Nursing Facility/Intermediate Care Facility | 27 S. 7th St., Gosport, IN 47433-0099 | 2007-06-13 |
| 1033216411 | Barbara A. Lamere-heck | Dentist | 10 East Main Street, Gosport, IN 47433-0189 | 2006-09-20 |
| 1194801233 | Julie D. Surber | Dental Hygienist | 10 E. Main St., Gosport, IN 47433-0189 | 2006-10-31 |
| 1659902013 | Southern Indiana Mobile Therapy Services | Physical Therapist | 5587 Limestone Creek Rd, Gosport, IN 47433-7950 | 2020-02-03 |
| 1033230057 | Annette Moore Settle | Physical Therapist | 4252 Whiteys Way, Gosport, IN 47433-8229 | 2007-04-03 |
| 1447883517 | Casey Jo Cummins | Registered Nurse | 5621 S Darrell Ln, Gosport, IN 47433-8977 | 2020-02-18 |
| 1396126447 | Paula Dorland Jarrard | Occupational Therapist | 1198 W Fry Rd, Gosport, IN 47433-9529 | 2015-06-15 |
| 1447422191 | Terry R. Eads | Social Worker | 1351 W Burma Rd, Gosport, Gosport, IN 47433-9573 | 2008-04-01 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407207079 | Sarah Truax | Nurse Practitioner | 7 E Main St, Gosport, IN 47433-7034 | 2016-06-24 |
| 1619245909 | Cynthia L Colglazier | Nurse Practitioner | 7 E Main St, Gosport, IN 47433-7034 | 2011-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244176 | Mallory Lee Anslow | Nurse Practitioner | 10641 Deercrest Ln, Indianapolis, IN 46239-9690 | 2020-10-29 |
| 1285234237 | Vb Medical Group LLC | Nurse Practitioner | 10047 Whispering Wind Dr, Greenville, IN 47124-9704 | 2020-10-29 |
| 1518566397 | Stacey Renee Pulver | Nurse Practitioner | 13134 Hollow Oak Rd, Fort Wayne, IN 46845-2327 | 2020-10-22 |
| 1578162459 | Kourtney Marie Terry | Nurse Practitioner | 128 Miner Rd, Avilla, IN 46710-9690 | 2020-10-21 |
| 1780283630 | Dana L Yergler | Nurse Practitioner | 16632 Linfield Ct, Granger, IN 46530-7012 | 2020-10-21 |
| 1730788720 | Camille Mae Carl | Nurse Practitioner | 6441 Anna Louise Dr, Charlestown, IN 47111-8797 | 2020-10-20 |
| 1124626585 | Dustin Mikesell | Nurse Practitioner | 1000 E Main St Ste 104, Danville, IN 46122-1948 | 2020-10-16 |
| 1144828799 | Mina Desai-patel | Nurse Practitioner | 14698 Drayton Dr, Noblesville, IN 46062-8230 | 2020-10-15 |
| 1649878554 | Heather Ormiston-leclear | Nurse Practitioner | 3800 N Anthony Blvd # Cc1335, Fort Wayne, IN 46805-1430 | 2020-10-13 |
| 1023616125 | Kimberly Dawn Calloway | Nurse Practitioner | 5306 E Blocher Rd, Lexington, IN 47138-8803 | 2020-10-12 |
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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.