TISHA LINN WALTER (NPI# 1881202505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881202505 |
| Entity Type | Individual |
| Full Name | TISHA LINN WALTER |
| Credential | CPNP |
| Practice Address |
7015c Manchester Blvd Alexandria VA 22310-3420 |
| Mailing Address |
3914 Centreville Rd Ste 225 Chantilly VA 20151-3045 |
| Practice Telephone | 7039716900 |
| Mailing Telephone | 7039566301 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
0024197661 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7015C MANCHESTER BLVD |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22310-3420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225096373 | Evie K Cavros | Pediatrics | 7015c Manchester Blvd, Alexandria, VA 22310-3253 | 2006-05-01 |
| 1669633616 | Elisabeth B Gabor | Pediatrics | 7015c Manchester Blvd, Alexandria, VA 22310 | 2008-06-23 |
| 1922162205 | The Pediatric Group, PC | Pediatrics | 7015c Manchester Blvd, Alexandria, VA 22310-3253 | 2006-12-20 |
| 1710928437 | The Pediatric Group, PC | Pediatrics | 7015c Manchester Blvd, Alexandria, VA 22310-3253 | 2006-06-10 |
| 1205884434 | Eugenia Lin | Pediatrics | 7015c Manchester Blvd, Alexandria, VA 22310-3253 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295389732 | Katarzyna Piwek | Behavior Technician | 6281 Franconia Road, Suite B, Alexandria, VA 22310 | 2019-08-01 |
| 1073011672 | Roberto Arturo Hernandez Zapata | Dentist | Avenida Paseo De Los Heroes 9333-4, Tijuana, BAJA CALIFORNIA 22310 | 2018-01-29 |
| 1336542042 | Franconia Pediatrics Associates | Clinic/Center | 6078 Franconia Road Ste A/b, Alexandria, VA 22310 | 2014-10-08 |
| 1548663347 | Eric Mestas Dds PC | Clinic/Center | 5115 Franconia Rd Ste -d, Alexandria, VA 22310 | 2014-10-07 |
| 1982036331 | Meike Nadine Marshall | Physical Therapist | 6355 Walker Ln Ste 404, Alexandria, VA 22310 | 2013-08-07 |
| 1649448093 | Manchester Lakes Medical | Internal Medicine | 7015 E Manchester Blvd, Alexandria, VA 22310 | 2008-02-19 |
| 1629250311 | Kingstowne Dental Care PC | Dentist | 7015 A Macnhester Blvd, Alexandria, VA 22310 | 2007-12-04 |
| 1881890648 | Neal Kevin Maru | Psychiatry & Neurology | 6355 Walker Lane, 313, Alexandria, VA 22310 | 2007-06-26 |
| 1518188259 | Hospital Mexico | General Acute Care Hospital | Avenida De La Amistad 9077, Colonia Federal, Tijuana, BAJA CALIFORNIA 22310 | 2007-05-01 |
| 1114078185 | Melissa Jean Arnold | Counselor | 6015 Bushhill Dr, Alexandria, VA 22310 | 2007-01-16 |
| Find all providers in zip 22310 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669097978 | Madison Smith | Nurse Practitioner | 1220 Wythe St Apt 258, Alexandria, VA 22314-2279 | 2020-06-11 |
| 1013542349 | Juliet Brown | Nurse Practitioner | 5249 Duke St Ste 303, Alexandria, VA 22304-2907 | 2020-03-06 |
| 1033679501 | Laura Elizabeth Williamson | Nurse Practitioner | 501 Medical Center Dr Ste 100, Alexandria, LA 71301-8124 | 2019-03-21 |
| 1275076101 | Judith Stewart Wackenhut | Nurse Practitioner | 545 Triadelphia Way, Alexandria, VA 22312-3496 | 2016-11-26 |
| 1811304629 | Chasity D Amy | Nurse Practitioner | 6318 Bayou Crossing Dr, Alexandria, LA 71303-7028 | 2014-07-14 |
| 1366408817 | Paula A Manion | Nurse Practitioner | 6303 Little River Tpke, # 300, Alexandria, VA 22312 | 2006-04-25 |
| 1801852355 | Theresa P Tangherlini | Nurse Practitioner | 6303 Little River Tpke #300, Alexandria, VA 22312 | 2006-04-25 |
| 1548252760 | Linda M Paul | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2005-08-16 |
| 1669474797 | Carolyn Sue Lemoine | Nurse Practitioner | St. Frances Cabrini Hospital School Based Centers, 3330 Masonic Dr., Alexandria, LA 71301 | 2005-06-01 |
| 1083225940 | Ranassa Renee Smith | Nurse Practitioner | 2226 Worley Dr, Alexandria, LA 71301-3600 | 2020-08-13 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22310 |
Please comment or provide details below to improve the information on TISHA LINN WALTER.
| 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.