Provider Type Icon

MS. MEREDITH A WALTER ADT NURSING PRAC ANP NPI 1922046101


NPI Information

NPI: 1922046101
Provider Name: MS. MEREDITH A WALTER, ADT NURSING PRAC ANP
Classification: Nurse Practitioner - 363L00000X
Entity Type: Individual
Organization: JERSEY COMMUNITY HOSPITAL

PECOS Registration: Yes

Address:
10012 KENNERLY RD
SUITE 301
SAINT LOUIS, MO
ZIP 63128
Phone: (314) 729-0088
Get Directions

MS. Meredith A Walter, ADT NURSING PRAC ANP is a nurse practitioner in Saint Louis, MO with 20 years of experience. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. MS. Meredith A Walter, ADT NURSING PRAC ANP NPI is 1922046101. 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:

10012 KENNERLY RD
SUITE 301
SAINT LOUIS, MO
ZIP 63128-197
Phone: (314) 729-0088
Fax: (314) 729-0088

The NPI 1922046101 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 6/2/2006 and was last updated on 4/16/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse Practitioner146250MISSOURINo
2363L00000XNurse Practitioner041301761ILLINOISYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17260711OTHERMISSOURIAETNA
204232002OTHERILLINOISBCBS
3826292159MEDICARE ID-TYPE UNSPECIFIEDMISSOURI
4P00316512MEDICARE PIN
5072357OTHERMISSOURIEXCLUSIVE CHOICE
6Q47054MEDICARE UPIN
7427262704MEDICAIDMISSOURI
8P00800491MEDICARE PINMISSOURI
9711678OTHERMISSOURIHEALTHLINK
10SA56538OTHERMISSOURIHEALTHCARE USA
11K20137MEDICARE ID-TYPE UNSPECIFIEDILLINOIS

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.