SANDRA BUNCH WALTON LMFT CNS NPI 1093703324

NPI Information

NPI: 1093703324
Provider Name: SANDRA BUNCH WALTON, LMFT, CNS
Classification: Clinical Nurse Specialist - 364SP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

PECOS Registration: Yes

Address:
1990 ALLEN RD
SUITE B
GREENVILLE, NC
ZIP 27834
Phone: (252) 758-4554
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Sandra Bunch Walton, LMFT, CNS is a psychiatric/mental health and adult clinical nurse specialist in Greenville, NC. Sandra Bunch Walton, LMFT, CNS NPI is 1093703324. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1990 ALLEN RD
SUITE B
GREENVILLE, NC
ZIP 27834-058
Phone: (252) 758-4554
Fax: (252) 758-5561

The NPI 1093703324 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/11/2005 and was last updated on 7/1/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	106H00000X	Marriage & Family Therapist		153	NORTH CAROLINA	No
2	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	0229130-37	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2802084A	MEDICARE PIN	NORTH CAROLINA
2	126AM	OTHER	NORTH CAROLINA	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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