MS. KATHLEEN WALTER (NPI# 1043574908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043574908 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN WALTER |
| Other Name | MRS. KATHLEEN NAM |
| Credential | MSED |
| Practice Address |
253 Sagamore Hills Dr Port Jefferson Station NY 11776-3553 |
| Practice Telephone | 6318288602 |
| Practice Fax Number | 6314735688 |
| Mailing Telephone | 6318288602 |
| Mailing Fax Number | 6314735688 |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2012-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 224703 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740721711 | Kathleen Walter | Physical Therapist | 1792 S Lake Dr, Ste 90-125, Lexington, SC 29073-6824 | 2017-03-10 |
| 1851661912 | Kathleen Patricia Walter | Social Worker | 515 116th Ave Ne, Olive Crest, Bellevue, WA 98004-5223 | 2012-01-06 |
| 1245628858 | Kathleen Germaine Walter | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2015-01-05 |
| 1700091824 | Kathleen Irene Walter | Hearing Instrument Specialist | 1369 Harrison Ave, Butte, MT 59701-4875 | 2007-05-11 |
| 1477657930 | Kathleen Walter | Nurse Practitioner | University Drive C, Pittsburgh, PA 15240 | 2006-09-12 |
| Street Address |
253 SAGAMORE HILLS DR |
| City | PORT JEFFERSON STATION |
| State | NY |
| Zip Code | 11776-3553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205304219 | Melissa E Germano | Acupuncturist | 5225 Nesconset Highway Rte 347, Davis Professional Park Building 1 Suite 1, Port Jefferson Station, NY 11776 | 2018-11-07 |
| 1366962185 | Michael Louis Scicchitano Sr. | Physical Therapist | 3 Colgate Street, Port Jefferson Station, NY 11776 | 2017-06-22 |
| 1063969517 | Dana Adamkiewicz | Acupuncturist | 432 North Bicycle Path, Port Jefferson Station, NY 11776 | 2016-09-01 |
| 1538531819 | Jacqueline Rambo | Specialist | 5225 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2015-10-26 |
| 1821474297 | Michael Leuci | Social Worker | 3 Premier Court, Port Jefferson Station, NY 11776 | 2015-08-07 |
| 1578978078 | Carol A. Palmer I | Acupuncturist | 34 Champlain St, Port Jefferson Station, NY 11776 | 2014-06-24 |
| 1659783371 | Janette M Sperandeo | Nurse Practitioner | 5 Roosevelt Avenue, Port Jefferson Station, NY 11776 | 2014-05-29 |
| 1578973079 | James Buchrieser | Specialist | 525 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2014-05-06 |
| 1871923227 | Duran Thomas Murphy | Licensed Practical Nurse | 8 Carolyn Road, Port Jefferson Station, NY 11776 | 2013-11-22 |
| 1699104562 | Julio Genao | Massage Therapist | 213 Jayne Blvd, Portjefferson Station, NY 11776 | 2013-11-01 |
| Find all providers in zip 11776 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265046924 | Meredith Marie Kosinski | Specialist | 257 Sagamore Hills Dr, Port Jefferson Station, NY 11776-3530 | 2020-09-01 |
| 1588205918 | Ehrin Rene Catalano | Specialist | 1 Foxrun Ct, Port Jefferson Station, NY 11776-1385 | 2019-10-07 |
| 1821590753 | Jaclyn M Valentino | Specialist | 308 Sara Cir, Port Jefferson Station, NY 11776-2739 | 2018-03-07 |
| 1013440601 | Kristina Fowler | Specialist | 16 Superior St, Port Jefferson Station, NY 11776-4330 | 2017-04-10 |
| 1134666522 | Emily Samuels | Specialist | 406 Sara Cir, Port Jefferson Station, NY 11776-2740 | 2017-01-24 |
| 1376089292 | Michelle Denhartog | Specialist | 12 Woods Dr, Port Jefferson Station, NY 11776-3600 | 2017-01-17 |
| 1164970257 | James Fernandes II | Specialist | 10 Winston Ln, Port Jefferson Station, NY 11776-3324 | 2016-09-17 |
| 1932550878 | Kate Nicole Colucci | Specialist | 49 Penn St, Port Jefferson Station, NY 11776-3807 | 2016-06-22 |
| 1043660574 | Lauren Jeanine Faulhaber | Specialist | 516 Bicycle Path, Port Jefferson Station, NY 11776-3433 | 2016-06-15 |
| 1306209069 | Heather Castle | Specialist | 21 Joline Rd, Port Jefferson Station, NY 11776-3305 | 2016-03-31 |
| Find all providers in PORT JEFFERSON STATION | ||||
| City | PORT JEFFERSON STATION |
| Zip Code | 11776 |
Please comment or provide details below to improve the information on MS. KATHLEEN WALTER.
| 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.