MS. STEPHANI RAE WALTON (NPI# 1114074804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114074804 |
| Entity Type | Individual |
| Full Name | MS. STEPHANI RAE WALTON |
| Credential | RN, BSN, MS, CDE |
| Practice Address |
1777 W Yosemite Ave Manteca CA 95337-5130 |
| Mailing Address |
10130 Berryessa Dr Stockton CA 95219-7123 |
| Practice Telephone | 2098252423 |
| Practice Fax Number | 2098252409 |
| Mailing Telephone | 2094746588 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 163WC1600X |
Registered Nurse Specialization: Continuing Education/Staff Development |
336510 | CA | Nursing Service Providers |
| X | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
336510 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699214395 | Stephani Walton | Behavior Technician | 1617 E Milham Ave, Portage, MI 49002-3049 | 2017-02-15 |
| Street Address |
1777 W YOSEMITE AVE |
| City | MANTECA |
| State | CA |
| Zip Code | 95337-5130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952357741 | Thomas Geraci | Emergency Medicine | 1777 W Yosemite Ave, Manteca, CA 95337-5130 | 2006-05-25 |
| 1568075620 | Alicia Avitia | Registered Nurse | 1777 W Yosemite Ave, Manteca, CA 95337-5187 | 2020-08-28 |
| 1720615388 | Jocelyn Laxa | Dietitian, Registered | 1777 W Yosemite Ave, Manteca, CA 95337-5130 | 2020-03-24 |
| 1134688724 | Lupita Martinez Angeles | Respiratory Therapist, Certified | 1777 W Yosemite Ave, Manteca, CA 95337-5130 | 2019-03-14 |
| 1760949093 | Mona Lisa Fernandez | Respiratory Therapist, Registered | 1777 W Yosemite Ave, Manteca, CA 95337-5130 | 2019-02-22 |
| 1124585468 | Amir Hamid | Respiratory Therapist, Certified | 1777 W Yosemite Ave, Manteca, CA 95337-5130 | 2019-02-22 |
| 1568927010 | Lorrie Jean Swortfiguer | Respiratory Therapist, Certified | 1777 W Yosemite Ave, Manteca, CA 95337-5130 | 2019-02-08 |
| 1609330042 | Lisa Pell | Respiratory Therapist, Certified | 1777 W Yosemite Ave, Manteca, CA 95337-5130 | 2019-01-30 |
| 1518421957 | Janice Sue Ross | Respiratory Therapist, Registered | 1777 W Yosemite Ave, Manteca, CA 95337-5130 | 2019-01-30 |
| 1427512862 | Sofia Julie Diaz-caporgno | Respiratory Therapist, Certified | 1777 W Yosemite Ave, Manteca, CA 95337-5130 | 2019-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640485 | Shanitta D Hines | Counselor | Victor Community Support Services, 302 Cherry Lane, CA 95337 | 2020-08-19 |
| 1548658685 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 401 S Airport Way, Manteca, CA 95337 | 2014-12-23 |
| 1225430655 | Elizabeth Julia Ann Tyner | Hearing Instrument Specialist | 1079 Eucalyptus, Suite B, Manteca, CA 95337 | 2014-09-17 |
| 1134565740 | Aegis Treatment Centers, LLC | Clinic/Center | 955 W. Center Street, Suites 12a, 12b & 14, Manteca, CA 95337 | 2013-05-22 |
| 1053668947 | Roger Cabo Inciong | Physical Therapist | 3652 Rapallo Way, Manteca, CA 95337 | 2012-08-09 |
| 1295997757 | Costco Wholesale Corporation | Pharmacy | 2440 Daniels St, Manteca, CA 95337 | 2008-06-26 |
| 1255474235 | Carmen Catherine Nunes | Marriage & Family Therapist | 1771 Yosemite Ave., Manteca, CA 95337 | 2007-02-15 |
| 1063577062 | Kathy Laverne Barron | Counselor | 1789 W. Yosemite Ave., Sierra Building, 1st Floor, Manteca, CA 95337 | 2006-12-27 |
| 1891853149 | R. Ciccarelli, Dds., R. Joseph, Dds., M. El Farra, Dds., D. Saini, Dds | Dentist | 1507 W. Yosemite, Manteca, CA 95337 | 2006-12-05 |
| 1467528265 | Annie Mathew | Pharmacist | 1777 West Yosemite Ave, Manteca, CA 95337 | 2006-11-27 |
| Find all providers in zip 95337 | ||||
| Taxonomy Code | 163WC1600X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Continuing Education/Staff Development |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083126239 | Kimberly Anne Deese | Registered Nurse | 2144 Everglades Pl, Davis, CA 95616-6628 | 2017-10-27 |
| 1396153094 | Jennifer Hoke | Registered Nurse | 9260 Laguna Springs Dr # Drivee1, Attn: Jennifer Hoke, Elk Grove, CA 95758-7947 | 2014-07-25 |
| 1104117530 | Carole Ann Liu | Registered Nurse | 6079 Mason Ct, Magalia, CA 95954-9678 | 2011-04-19 |
| 1174553150 | Marta E Artiga | Registered Nurse | 4th and Inner Loop, Building 166, Fort Irwin, CA 92310-5109 | 2006-07-04 |
| 1306826888 | David John Walker | Registered Nurse | 14601 Evening Star Dr, Poway, CA 92064-3016 | 2006-01-19 |
| 1699384156 | Asm Family Foundation | Registered Nurse | 120 Corning Ave, Milpitas, CA 95035-5225 | 2020-07-30 |
| 1861033896 | Krystal Pombo | Registered Nurse | 7300 N Fresno St, Fresno, CA 93720-2941 | 2019-10-01 |
| 1912475112 | Latonya Maxson | Registered Nurse | 375 Woodside Ave, San Francisco, CA 94127-1221 | 2018-11-06 |
| 1770083198 | Tiffany Grace Monticino | Registered Nurse | 501 Washington St Ste 600, San Diego, CA 92103-2239 | 2018-02-13 |
| 1417394875 | Angela F. Burrell | Registered Nurse | 5701 S Hoover St, Los Angeles, CA 90037-4045 | 2013-05-25 |
| Find all providers with the same taxonomy | ||||
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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.