LISA A WALTER N.P. NPI 1740445519

NPI Information

NPI: 1740445519
Provider Name: LISA A WALTER, N.P.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
117 FOOTE AVENUE
SUITE 100
JAMESTOWN, NY
ZIP 14701
Phone: (716) 338-9200
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Lisa A Walter, N.P. is a family nurse practitioner in Jamestown, NY with 16 years of experience. Lisa A Walter, N.P. NPI is 1740445519. 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:

117 FOOTE AVENUE
SUITE 100
JAMESTOWN, NY
ZIP 14701
Phone: (716) 338-9200

The NPI 1740445519 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 7/22/2008 and was last updated on 7/25/2016.

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	363LF0000X	Nurse Practitioner	Family	F335710-1	NEW YORK	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	9515406	OTHER	NEW YORK	IHA
2	03064697	MEDICAID	NEW YORK
3	000531082001	OTHER	NEW YORK	BCBS
4	0569838	OTHER	NEW YORK	GHI
5	J400001310	MEDICARE PIN	NEW YORK

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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