MS. STEPHANI RAE WALTON RN BSN MS CDE NPI 1114074804

NPI Information

  • NPI: 1114074804
  • Provider Name: MS. STEPHANI RAE WALTON, RN, BSN, MS, CDE
  • Classification: Registered Nurse - 163WD0400X
  • Specialization: Diabetes Educator
  • Entity Type: Individual
  • Address: 1777 W YOSEMITE AVE
    MANTECA, CA
    ZIP 95337
  • Phone: (209) 825-2423

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NPI Details

MS. Stephani Rae Walton, RN, BSN, MS, CDE is a diabetes educator registered nurse in Manteca, CA. MS. Stephani Rae Walton, RN, BSN, MS, CDE NPI is 1114074804. 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:

1777 W YOSEMITE AVE
MANTECA, CA
ZIP 95337-130
Phone: (209) 825-2423
Fax: (209) 825-2409

The enumeration date for this NPI number is 1/4/2007 and was last updated on 9/11/2025.

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
1163WC1600XRegistered NurseContinuing Education/Staff Development336510CALIFORNIANo
2163WD0400XRegistered NurseDiabetes Educator336510CALIFORNIAYes

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: 11/21/2025

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