MS. CELIA DIANE WALTA (NPI# 1851644595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851644595 |
| Entity Type | Individual |
| Full Name | MS. CELIA DIANE WALTA |
| Credential | RN |
| Practice Address |
17727 E Burnside St Portland OR 97233-4803 |
| Mailing Address |
4531 Se Belmont St Ste 100 Portland OR 97215-1675 |
| Practice Telephone | 5032159800 |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2012-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
200241219RN | OR | Nursing Service Providers |
| Street Address |
17727 E BURNSIDE ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97233-4803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942258827 | Vicki Lee | Nurse Practitioner | 17727 E Burnside St, Portland, OR 97233-4803 | 2006-05-04 |
| 1033758198 | Theresa Renee Seifer | Registered Nurse | 17727 E Burnside St, Portland, OR 97233-4803 | 2020-01-06 |
| 1821632480 | Mary Patricia Cohen | Registered Nurse | 17727 E Burnside St, Portland, OR 97233-4803 | 2019-11-06 |
| 1346896636 | James Arthur Mcavoy IIi | Registered Nurse | 17727 E Burnside St, Portland, OR 97233-4803 | 2019-08-13 |
| 1811559602 | Rachael C Harris | Registered Nurse | 17727 E Burnside St, Portland, OR 97233-4803 | 2019-07-02 |
| 1083173314 | Claudia None Fong | Licensed Practical Nurse | 17727 E Burnside St, Portland, OR 97233-4803 | 2019-03-16 |
| 1346710027 | Karen Schmidt Smack | Registered Nurse | 17727 E Burnside St, Portland, OR 97233-4803 | 2018-11-26 |
| 1770079170 | Kelly Skellenger | Social Worker | 17727 E Burnside St, Portland, OR 97233-4803 | 2018-07-09 |
| 1861902256 | Cecilia Koukoumanos | Social Worker | 17727 E Burnside St, Portland, OR 97233-4803 | 2017-10-11 |
| 1902322878 | Zarina Verbetskiy | Physical Therapy Assistant | 17727 E Burnside St, Portland, OR 97233-4803 | 2017-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448164 | Moore Therapy Services, LLC | Behavioral Analyst | 2053 Se 181st Ave, Portland, OR 97233 | 2020-08-20 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1427573443 | Sunshine Ahc | In Home Supportive Care | 2217 Se 156th Ave, Portland, OR 97233 | 2017-08-10 |
| 1538609433 | Nathaniel Davis Jr. | Counselor | 8915 Se Center St, Tigard, OR 97233 | 2017-02-27 |
| 1154878627 | Oregon Outreach Inc | Case Management | 1740 South East 139th Avenue, Portland, OR 97233 | 2016-09-01 |
| 1023461019 | Julianne Baltzley | Counselor | 2409 Se 149th Avenue, Portland, OR 97233 | 2016-07-14 |
| 1710332143 | Emma Slater | Counselor | 12360 Se Burnside, Portland, OR 97233 | 2016-05-04 |
| 1245621952 | Gregory Brett Bledsoe | Counselor | 1427 Se 182nd Ave., Portland, OR 97233 | 2015-02-17 |
| 1396149852 | Jacqueline Bension | Counselor | 1705 Se 122nd Ave, Portland, OR 97233 | 2014-10-13 |
| 1700206950 | Olga I Zlatova I | Dental Hygienist | 325 Se 154th Ave, Portland, OR 97233 | 2014-04-25 |
| Find all providers in zip 97233 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841673670 | Michael Rochlin | Registered Nurse | 550 Nw 19th Ave, Apt 610, Portland, OR 97209-2088 | 2015-06-29 |
| 1154602902 | Kathleen Denise Dronkowski | Registered Nurse | 25 Nw 23rd Ste 6, Pmb 416, Portland, OR 97210 | 2011-09-07 |
| 1750526299 | Alisa Pallister | Registered Nurse | 1325 Nw Frazier Court, Portland, OR 97229-8489 | 2008-12-12 |
| 1821632480 | Mary Patricia Cohen | Registered Nurse | 17727 E Burnside St, Portland, OR 97233-4803 | 2019-11-06 |
| 1407499577 | Melissa Smith | Registered Nurse | 13007 Ne Glisan St, Portland, OR 97230-2545 | 2019-10-22 |
| 1346896636 | James Arthur Mcavoy IIi | Registered Nurse | 17727 E Burnside St, Portland, OR 97233-4803 | 2019-08-13 |
| 1811559602 | Rachael C Harris | Registered Nurse | 17727 E Burnside St, Portland, OR 97233-4803 | 2019-07-02 |
| 1760940498 | Lindsey Lee Sipos | Registered Nurse | 1132 Sw 13th Ave, Portland, OR 97205-1703 | 2019-03-12 |
| 1164908182 | Kathleen B O'boyle | Registered Nurse | 1132 Sw 13th Ave, Portland, OR 97205-1703 | 2018-07-12 |
| 1124514823 | Timothy Craig Parsons | Registered Nurse | 2727 Se Alder St, Portland, OR 97214-3015 | 2018-07-05 |
| Find all providers in PORTLAND | ||||
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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.