HEATHER LYNN WALTON (NPI# 1225395544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225395544 |
| Entity Type | Individual |
| Full Name | HEATHER LYNN WALTON |
| Other Name | HEATHER LYNN BRUNELL |
| Credential | PA |
| Practice Address |
2000 Circle of Hope Clinic 2e Slc UT 84112-5550 |
| Mailing Address |
127 South 500 East #600 Slc UT 84102-1971 |
| Practice Telephone | 8015874024 |
| Practice Fax Number | 8015853846 |
| Mailing Telephone | 8015876705 |
| Mailing Fax Number | 8017158228 |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2018-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA9106253 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
10528186-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225374523 | Heather Walton | Social Worker | 525 E Bridge St, Breaux Bridge, LA 70517-4605 | 2012-12-14 |
| 1194026419 | Heather Walton | Speech-Language Pathologist | 12350 Industry Way Ste 202, Anchorage, AK 99515-4301 | 2010-11-03 |
| 1689154460 | Heather Michelle Walton | Nurse Practitioner | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2018-08-21 |
| 1225431083 | Heather Walton | Case Manager/Care Coordinator | 22790 Sw 112th Ave, Miami, FL 33170-7602 | 2014-10-07 |
| 1053623629 | Heather Dale Walton | Physical Therapist | 285 Hydraulic Ridge Rd, Suite 4, Charlottesville, VA 22901-8126 | 2010-07-12 |
| Street Address |
2000 CIRCLE OF HOPE CLINIC 2E |
| City | SLC |
| State | UT |
| Zip Code | 84112-5550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484023 | Courtney Hook | Student in an Organized Health Care Education/Training Program | 1860 E 250 S Hper East, Room 208, Salt Lake City, UT 84112 | 2020-07-10 |
| 1235792839 | Dylan Lamb | Rehabilitation Practitioner | 1850 S. 260 E, Salt Lake City, UT 84112 | 2019-04-18 |
| 1740787407 | David Bradley Patch | Student in an Organized Health Care Education/Training Program | University of Utah Hospital Dental Clinic #7, 50 N. Medical Dr., Salt Lake City, UT 84112 | 2018-04-10 |
| 1962949586 | Gina Whitehead | Nurse Practitioner | 10 South 2000 East, Salt Lake City, UT 84112 | 2017-01-20 |
| 1316493117 | Dana Friske | Specialist/Technologist | 290 S 1850 E, Room 103, Salt Lake City, UT 84112 | 2016-08-31 |
| 1548612435 | Frances Millett Johnson | Nurse Practitioner | 555 South Foothill Blvd, Suite 301, Salt Lake City, UT 84112 | 2016-07-05 |
| 1679920904 | Jason Lippman | Family Medicine | 555 S. Foothill Blvd., Ste. 301, Salt Lake City, UT 84112 | 2016-05-17 |
| 1447604335 | Joseph Mcbeth | Specialist/Technologist | 580 S. Guardsman Way, Salt Lake City, UT 84112 | 2016-04-18 |
| 1104213636 | Cameron Critchfield | Student in an Organized Health Care Education/Training Program | 26 South 2000 East, Suite 5900, Salt Lake City, UT 84112 | 2015-04-22 |
| 1942697933 | Jennifer Rose | Dentist | 50 N Medical Dr, University Hospital, Salt Lake City, UT 84112 | 2015-04-17 |
| Find all providers in zip 84112 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154878692 | Devin Faye Petersen | Physician Assistant | 2995 E Middleton Way, Slc, UT 84124-3055 | 2016-09-01 |
| 1477550515 | Jeffrey Michael Coursey | Physician Assistant | 461 S 400 E, Slc, UT 84111-3302 | 2005-07-05 |
| 1114115862 | Elizabeth Leeanne Darling | Physician Assistant | 4252 Highland Dr, #200, Slc, UT 84124-2670 | 2007-10-09 |
| 1740394147 | Anneli Sarah Williams | Physician Assistant | 2000 S 900 E, Slc, UT 84105-3208 | 2006-08-19 |
| 1518964659 | Jennifer Myers Coombs | Physician Assistant | 50 N Medical Dr, Slc, UT 84132-0001 | 2005-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748080 | Shannon Dhungel | Physician Assistant | 82 S 1100 E Ste 402, Salt Lake City, UT 84102-1892 | 2020-04-10 |
| 1437702875 | Jennica Marie Van Blerkom | Physician Assistant | 4755 S Wallace Ln, Holladay, UT 84117-6458 | 2019-07-23 |
| 1124599873 | Tcfh Lc | Physician Assistant | 9777 N 5520 W, Highland, UT 84003-9130 | 2018-12-06 |
| 1528533825 | Ryan Mclean Walsh | Physician Assistant | 1454 University Vlg, Salt Lake City, UT 84108-3518 | 2018-10-12 |
| 1033627351 | Linda Richards Lewis | Physician Assistant | 30 N. 1900 E, Som 5r218, Salt Lake City, UT 84132-0002 | 2018-01-22 |
| 1215446919 | Richard L Mittan | Physician Assistant | 65 E 6850 S, Midvale, UT 84047-1215 | 2017-09-25 |
| 1710416649 | Brian Adams | Physician Assistant | 1308 E 900 S # C, St George, UT 84790-8520 | 2017-06-05 |
| 1972036242 | Jace Meng | Physician Assistant | 30 N 1900 E Rm 5r218, Salt Lake City, UT 84132-0002 | 2017-04-04 |
| 1396289799 | Jefferson M Allen | Physician Assistant | 356 W 840 S, Orem, UT 84058-6778 | 2016-12-05 |
| 1609324151 | Colby Bliss | Physician Assistant | 826 N Paiute Way, Richfield, UT 84701-1849 | 2016-09-13 |
| 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.