LORI WALTON (NPI# 1225663388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225663388 |
| Entity Type | Individual |
| Full Name | LORI WALTON |
| Credential | FNP-C |
| Practice Address |
Children's Hospital of Mi 3901 Beaubien Detroit MI 48201-2119 |
| Mailing Address |
University Pediatricians 4201 St. Antoine - Uhc 5d Mailbox 226 Detroit MI 48201-2153 |
| Practice Telephone | 3139660128 |
| Practice Fax Number | 3139930390 |
| Mailing Telephone | 3137454405 |
| Mailing Fax Number | 3139660665 |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 4704289076 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704289076 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205046778 | Lori Walton | Speech-Language Pathologist | 31805 Silverado Lane, Waukee, IA 50263 | 2007-05-23 |
| 1063569820 | Lori A Walton | Physician Assistant | 1800 Lombard St Ste 501, Philadelphia, PA 19146-8400 | 2007-01-04 |
| 1942273073 | Lori A. Walton | Nurse Practitioner | 6807 Louisville Rd, Bowling Green, KY 42101-8015 | 2006-02-09 |
| 1356858708 | Lori Anne Walton | Counselor | 1960 Thompson Dr, Sedro Woolley, WA 98284-5007 | 2018-01-08 |
| 1962650077 | Lori Anne Walton | Speech-Language Pathologist | 5321 Beverly Park Cir, Knoxville, TN 37918-9253 | 2008-09-03 |
| 1881618437 | Lori Ann Walton | Social Worker | 4000 E Charleston Blvd, B-230, Las Vegas, NV 89104-6659 | 2006-07-27 |
| Street Address |
CHILDREN'S HOSPITAL OF MI 3901 BEAUBIEN |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033188099 | Cathy Patty-resk | Nurse Practitioner | Children's Hospital of Mi, 3950 Beaubien, Detroit, MI 48201 | 2006-03-14 |
| 1386245967 | Ashley Nicole Heffner | Nurse Practitioner | Children's Hospital of Mi, 3901 Beaubien, Detroit, MI 48201-2119 | 2020-11-02 |
| 1235649963 | Meghna Shukla | Nurse Practitioner | Children's Hospital of Mi, 3901 Beaubien, Detroit, MI 48201 | 2017-10-09 |
| 1336673219 | Tabatha Alrayes | Pediatrics | Children's Hospital of Mi, 3901 Beaubien, Detroit, MI 48201-2119 | 2017-04-17 |
| 1427591262 | Elise Guido | Nurse Practitioner | Children's Hospital of Mi, 3901 Beaubien - Ground Fl, Detroit, MI 48201-2119 | 2016-11-28 |
| 1487196952 | Michael Deraad | Nurse Practitioner | Children's Hospital of Mi, 3901 Beaubien, Detroit, MI 48201 | 2016-11-15 |
| 1487000238 | Ryan Mehendra Surujdeo | Pediatrics | Children's Hospital of Mi, 3901 Beaubien, Detroit, MI 48201-2119 | 2016-05-11 |
| 1982059242 | Carl Tabb II | Pediatrics | Children's Hospital of Mi, 3901 Beaubuen, Detroit, MI 48201-2119 | 2016-04-25 |
| 1215381975 | Cindy Agu | Pediatrics | Children's Hospital of Mi, 3901 Beaubien, Detroit, MI 48201-2119 | 2016-04-19 |
| 1134509144 | Jason P Miller | Pediatrics | Children's Hospital of Mi, 3901 Beaubien, Detroit, MI 48201-2119 | 2015-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
| Find all providers in zip 48201 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386243574 | Carl Andrew Ballard | Nurse Practitioner | 2635 Johnson Bottom Rd, Detroit, AL 35552-2731 | 2020-10-20 |
| 1639776164 | Jennifer N Fucile | Nurse Practitioner | 3800 Woodward Ave Apt 702, Detroit, MI 48201-1980 | 2020-10-07 |
| 1649880329 | Dedra Delane Ford | Nurse Practitioner | 18255 Birchcrest Dr, Detroit, MI 48221-2750 | 2020-08-06 |
| 1528695624 | Venvisor Health Michigan LLC | Nurse Practitioner | 400 Renaissance Ctr Ste 200, Detroit, MI 48243-1502 | 2020-03-26 |
| 1558909978 | Ruxandra Maria Lazar | Nurse Practitioner | 5285 Anthony Wayne Dr, Detroit, MI 48202-3947 | 2019-12-16 |
| 1376186460 | Fazila Mahmood Siddiqui | Nurse Practitioner | 22201 Moross Rd Bldg Suite380, Detroit, MI 48236-2169 | 2019-10-22 |
| 1205482692 | Ladawn Denise Kennedy | Nurse Practitioner | 16645 Ilene St, Detroit, MI 48221-3401 | 2019-08-13 |
| 1427600246 | Christina Neirinck | Nurse Practitioner | 2401 St Antoine St, Detroit, MI 48201 | 2019-07-11 |
| 1548821556 | Ty R Houston | Nurse Practitioner | 13100 Corbett St, Detroit, MI 48213-2081 | 2019-06-21 |
| 1235795451 | Nekisha Bailey | Nurse Practitioner | 7501 Parkland, Detroit, MI 48239-1079 | 2019-05-13 |
| Find all providers in DETROIT | ||||
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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.