ERICA WALTER (NPI# 1902450695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902450695 |
| Entity Type | Individual |
| Full Name | ERICA WALTER |
| Credential | WHNP-BC |
| Practice Address |
4590 Childrens Pl Fl 4 Saint Louis MO 63110-1020 |
| Mailing Address |
404 Falling Leaf Way Mascoutah IL 62258-2786 |
| Practice Telephone | 3147472775 |
| Practice Fax Number | 3142730124 |
| Mailing Telephone | 6183176890 |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
2019010059 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659872646 | Erica Travonne Walter | Counselor | 1845 N Green Acres Rd, Fayetteville, AR 72703-2615 | 2018-02-24 |
| Street Address |
4590 CHILDRENS PL FL 4 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417578873 | Saskia Naomi Chaskelson | Nurse Practitioner | 1309 Louisville Ave, Saint Louis, MO 63139-3421 | 2020-04-27 |
| 1801305677 | Courtney E Turnbough | Nurse Practitioner | 621 S New Ballas Rd Ste 2002b, Saint Louis, MO 63141-8265 | 2017-09-25 |
| 1205126679 | Amanda S Mcintyre | Nurse Practitioner | 1027 Bellevue, Suite 205, Saint Louis, MO 63117-1811 | 2011-04-19 |
| 1447589049 | Elizabeth Cook | Nurse Practitioner | 615 S New Ballas Rd Ste G-2198, Saint Louis, MO 63141-8221 | 2009-12-10 |
| 1336478007 | Sara M Koenig | Nurse Practitioner | 621 S New Ballas Rd Ste 4017b, Saint Louis, MO 63141-8269 | 2009-12-09 |
| 1023252707 | Tram T Wallen | Nurse Practitioner | 1 Parkview Pl # 6800-p, Saint Louis, MO 63110-1038 | 2009-04-27 |
| 1396948162 | Kristen A Zysk | Nurse Practitioner | 12700 Southfork Rd # St.230, Saint Louis, MO 63128-3201 | 2007-06-07 |
| 1871657981 | Kristin Joy Wald | Nurse Practitioner | 10012 Kennerly Rd Ste 405, Saint Louis, MO 63128-2197 | 2006-12-21 |
| 1174607618 | Michelle Erin Burk | Nurse Practitioner | 3844 S Lindbergh Blvd Ste 235, Saint Louis, MO 63127 | 2006-10-24 |
| 1922030865 | Monica Y Johnson | Nurse Practitioner | 4901 Forest Park Ave Ste 341, Ste 341, Saint Louis, MO 63108-1453 | 2006-07-07 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
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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.