MARY WALTER (NPI# 1942650320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942650320 |
| Entity Type | Individual |
| Full Name | MARY WALTER |
| Credential | ARNP |
| Practice Address |
712 39th St W Bradenton FL 34205-2454 |
| Mailing Address |
700 8th Ave W Suite 101 Palmetto FL 34221-4737 |
| Practice Telephone | 9417484602 |
| Practice Fax Number | 9417479230 |
| Mailing Telephone | 9417764000 |
| Mailing Fax Number | 9418454963 |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
ARNP1753342 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023449642 | Mary Gordon Walter | Registered Nurse | 976 Solomans Island Road, Prince Frederick, MD 20678 | 2013-12-07 |
| 1821105859 | Mary Jane Walter | Podiatrist | 11 Florida Park Dr, Palm Coast, FL 32137 | 2006-08-24 |
| 1740688209 | Mary Walter | Physician Assistant | 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 | 2014-12-16 |
| 1770890345 | Mary K. Walter | Physician Assistant | 1222 Pine St, Saint Helena, CA 94574-1830 | 2010-09-02 |
| 1265655112 | Mary Elizabeth Walter | Counselor | 141 W Davies Ave N, Ste 105, Littleton, CO 80120-5211 | 2007-04-10 |
| 1225106172 | Mary Adele Walter | Registered Nurse | 110 E Routt, Pueblo, CO 81004 | 2006-11-30 |
| Street Address |
712 39TH ST W |
| City | BRADENTON |
| State | FL |
| Zip Code | 34205-2454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790777860 | Loris Dover Barton | Nurse Practitioner | 712 39th St W, Manatee Pediatrics, Bradenton, FL 34205-2454 | 2005-08-16 |
| 1528421716 | Kaley Chanel Mccrary | Pediatrics | 712 39th St W, Bradenton, FL 34205-2454 | 2016-04-04 |
| 1497034649 | Josie Jn Gilles | Pediatrics | 712 39th St W, Bradenton, FL 34205-2454 | 2011-08-05 |
| 1295029866 | Mcr Health, Inc. | Obstetrics & Gynecology | 712 39th St W, Bradenton, FL 34205-2454 | 2011-06-01 |
| 1508094178 | Dana Robinson | Physician Assistant | 712 39th St W, Bradenton, FL 34205-2454 | 2009-06-23 |
| 1831294149 | Luis A Montes | Pediatrics | 712 39th St W, Bradenton, FL 34205-2454 | 2006-09-13 |
| 1871523795 | Mcr Health, Inc. | Obstetrics & Gynecology | 712 39th St W, Bradenton, FL 34205-2454 | 2006-07-04 |
| 1760459986 | Xavier Diego Sevilla | Pediatrics | 712 39th St W, Bradenton, FL 34205 | 2006-03-07 |
| 1134196629 | George Jackson Van Buren | Pediatrics | 712 39th St W, Bradenton, FL 34205-2454 | 2006-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649811506 | Fenix Drug Store, LLC | Pharmacy | 527 13th St W, Bradenton, FL 34205 | 2019-10-02 |
| 1326534702 | Elaine Benitez Vazquez | Developmental Therapist | 3800 Lake Bayshore Dr Apt 513, Bradenton, FL 34205 | 2018-07-09 |
| 1437519402 | Kenneth G Bannister | Massage Therapist | 302 26th Avenue East, Apt 101, Bradenton, FL 34205 | 2016-03-03 |
| 1780028415 | Nic 4 Summerfield Leasing LLC | Assisted Living Facility | 3409 26th St. W., Bradenton, FL 34205 | 2013-04-24 |
| 1275803017 | Jennifer Geanne Washington | Massage Therapist | 1901 9th Ave W, Bradenton, FL 34205 | 2012-01-11 |
| 1629352745 | Susan K Stone | Acupuncturist | 2620 Manatee Avenue W., Suite C, Bradenton, FL 34205 | 2011-10-07 |
| 1588957609 | Palma Sola Therapies LLC | Physical Medicine & Rehabilitation | 515 36th St., Suite D, Bradenton, FL 34205 | 2011-05-23 |
| 1023254836 | Halle Kranz | Counselor | 239 301 Blvd W, Bradenton, FL 34205 | 2008-12-29 |
| 1235389537 | Aisha Mohsin Malik | Psychiatry & Neurology | 200 3rd Avenue West, Suite 110, Bradenton, FL 34205 | 2008-09-23 |
| 1689895146 | Brenda Marie Wilson | Counselor | Manatee Service Center, 600 301 Blvd - Suite 144, Bradenton, FL 34205 | 2007-05-01 |
| Find all providers in zip 34205 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326186305 | Kay Louise Stump | Nurse Practitioner | 1862 Rye Rd, Suite101, Bradenton, FL 34212-9038 | 2007-02-02 |
| 1245208586 | Melinda Jane Downes | Nurse Practitioner | 1515 26th Ave E, Bradenton, FL 34208-7707 | 2006-03-11 |
| 1790777860 | Loris Dover Barton | Nurse Practitioner | 712 39th St W, Manatee Pediatrics, Bradenton, FL 34205-2454 | 2005-08-16 |
| 1962822841 | Alexandra Fasula Lambert | Nurse Practitioner | 5255 Office Park Blvd Ste 110, Bradenton, Bradenton, FL 34203-3443 | 2014-04-18 |
| 1083987226 | Laura Isola | Nurse Practitioner | 4764 E State Road 64, Bradenton, FL 34208-9058 | 2012-02-20 |
| 1477854503 | Joy D Felton | Nurse Practitioner | 1515 26th Ave E, Bradenton, FL 34208-7707 | 2010-11-05 |
| 1821135047 | Kimberly Disharoon Stitik | Nurse Practitioner | 2211 60th St W, Bradenton, FL 34209-5569 | 2007-01-30 |
| 1760450985 | Martha Phipps Nichol | Nurse Practitioner | 1515 26th Ave E, Bradenton, FL 34208-7707 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417072 | Carmen Moreno | Nurse Practitioner | 336 Golfview Rd Apt 909, North Palm Beach, FL 33408-3512 | 2020-11-05 |
| 1366043614 | Christi Koshy | Nurse Practitioner | 4025 N Nob Hill Rd Apt 207, Sunrise, FL 33351-5811 | 2020-11-03 |
| 1730789322 | Michelle Yen-vera | Nurse Practitioner | 18409 Nw 9th Ct, Pembroke Pines, FL 33029-3607 | 2020-11-01 |
| 1376143487 | Aimee N Jorgenson Stough | Nurse Practitioner | 91550 Overseas Hwy Ste 209, Tavernier, FL 33070-2513 | 2020-10-28 |
| 1588271233 | Olivia Janelle De Jong | Nurse Practitioner | 424 Ne 6th St Apt D, Gainesville, FL 32601-5576 | 2020-09-28 |
| 1801407796 | Elisabeth Morley Chinlund | Nurse Practitioner | 445 Delmar Ter S Apt 5, Saint Petersburg, FL 33701-4653 | 2020-08-13 |
| 1972113025 | Nicole Horn | Nurse Practitioner | 8095 Spyglass Hill Rd Ste 104, Melbourne, FL 32940-8290 | 2020-08-04 |
| 1073131850 | Olivia Dawn Wilson | Nurse Practitioner | 5105 Clover Mist Dr, Apollo Beach, FL 33572-3417 | 2020-07-08 |
| 1427687565 | Cortney M Starr | Nurse Practitioner | 2261 Kingfisher Ln, Clearwater, FL 33762-3323 | 2020-04-01 |
| 1285263335 | Summer Leigh Moran | Nurse Practitioner | 528 W Baldwin Rd # A, Panama City, FL 32405-3313 | 2020-04-01 |
| 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.