MR. HEADLEY JUNIOR RICKY WALTERS (NPI# 1043852809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043852809 |
| Entity Type | Individual |
| Full Name | MR. HEADLEY JUNIOR RICKY WALTERS |
| Credential | BSN, RN |
| Practice Address |
14400 Sw 32nd St Miami FL 33175-6545 |
| Mailing Address |
22018 Sw 93rd Pl Cutler Bay FL 33190-1230 |
| Practice Telephone | 3052209599 |
| Mailing Telephone | 7868048696 |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2019-10-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
RN9395952 | FL | Nursing Service Providers |
| Street Address |
14400 SW 32ND ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33175-6545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386780419 | Miami Cerebral Palsy Residential Services, Inc. | Intermediate Care Facility, Mentally Retarded | 14400 Sw 32nd St, Miami, FL 33175-6545 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885965 | Kevin Bernardo Gonzalez | Behavior Technician | 11895 Sw 37 St, Miami, FL 33175 | 2020-06-11 |
| 1619509106 | Gladysbel Lorenzo | Nurse Practitioner | 11740 Sw 42st, Miami, FL 33175 | 2020-02-12 |
| 1154885200 | Vanessa Arzola Dmd Pa and Associates | Clinic/Center | 13419 Sw 56th Street, Miami, Miami, FL 33175 | 2019-01-23 |
| 1588145932 | Mailen Gonzalez | Nurse Practitioner | 12294 Sw 29 Ter, Miami, FL 33175 | 2018-08-23 |
| 1639655350 | Carolina Marie Trueba | Behavior Technician | 12825 Sw 49th Terr, Miami, FL 33175 | 2018-07-16 |
| 1033611504 | Joan Coro | Behavior Technician | 12905 Sw 42nd St Suite 219, Miami, FL 33175 | 2018-03-01 |
| 1417456864 | Ignacio Alzugaray | Nurse Practitioner | 12317 Sw 20th Ter, Miami, FL 33175 | 2018-02-12 |
| 1215436993 | Desiree Rengifo-glasgow | Nurse Practitioner | 11865 Sw 26th St Ste J2, Miami, FL 33175 | 2018-02-07 |
| 1639678691 | Behavior Professional Consultants Corp. | Community/Behavioral Health | 2460 Sw 137th Ave 242, Miami, FL 33175 | 2018-02-06 |
| 1992204291 | Humberto Lorenzo Paez | Nurse Practitioner | 4205 Sw 136th Place, Miami, FL 33175 | 2018-02-02 |
| Find all providers in zip 33175 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949160 | Maria A Oliver | Registered Nurse | 8365 Sw 152nd Ave Apt C-108, Miami, FL 33193-4028 | 2020-07-16 |
| 1154802114 | April Montgomery | Registered Nurse | 1310 Nw 177th Ter, Miami, FL 33169-4647 | 2018-08-27 |
| 1699263392 | Yudeisy Abreu Pena | Registered Nurse | 15742 Sw 138th Ter, Miami, FL 33196-6702 | 2018-04-27 |
| 1821596479 | Jorge Carballo | Registered Nurse | 8710 Sw 41st Ter, Miami, FL 33165-5437 | 2018-01-29 |
| 1396253357 | Nancy Pena | Registered Nurse | 15062 Sw 30th St, Miami, FL 33185-4853 | 2018-01-11 |
| 1962859975 | Amarilys Diaz | Registered Nurse | 3110 Sw 82nd Ave, Miami, FL 33155-2444 | 2016-05-19 |
| 1134505787 | Rachel Martinez | Registered Nurse | 1654 Sw 138th Ct, Miami, FL 33175-7537 | 2015-08-05 |
| 1194074021 | Constance Velinda Celestin | Registered Nurse | 720 Nw 61st Street Apt 3, Miami, FL 33127 | 2012-09-06 |
| 1497769723 | Clay Ellen Wexler | Registered Nurse | 13011 Sw 116th St, Miami, FL 33186-4608 | 2006-07-29 |
| 1003850025 | Marisol Lugardo-soto | Registered Nurse | 900 Nw 17th Avenue, Miami, FL 33136 | 2006-06-16 |
| Find all providers in MIAMI | ||||
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| 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.