DORTHIA S WALTERS (NPI# 1306860697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306860697 |
| Entity Type | Individual |
| Full Name | DORTHIA S WALTERS |
| Credential | CFNP |
| Practice Address |
106 Walker St Houlka MS 38850-9453 |
| Mailing Address |
Po Box 187 Houlka MS 38850-0187 |
| Practice Telephone | 6625683316 |
| Practice Fax Number | 6625683360 |
| Mailing Telephone | 6625683316 |
| Mailing Fax Number | 6625683360 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2016-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R573388 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 07770365 | 05 |
| Street Address |
106 WALKER ST |
| City | HOULKA |
| State | MS |
| Zip Code | 38850-9453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578698270 | Kathleen J Locker | Family Medicine | 106 Walker St, Houlka, MS 38850-9453 | 2007-02-22 |
| 1164584223 | Rachel Warren Rish | Nurse Practitioner | 106 Walker St, Access Family Health Services, Inc., Houlka, MS 38850-9453 | 2006-12-15 |
| 1457461527 | Access Family Health Services, Inc. | Clinic/Center | 106 Walker St, Houlka, MS 38850 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255999611 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 400 3rd Ave 32 West, New Houlka, MS 38850 | 2019-05-31 |
| 1407319437 | Denyette Latham | Nurse Practitioner | 400 3rd Ave Hwy 32 W, Houlka, MS 38850 | 2019-04-08 |
| 1275874281 | Gsv Care Medical Clinic | Clinic/Center | 400 Third Avenue, Houlka, MS 38850 | 2013-03-15 |
| 1952781858 | Candace Miles | Occupational Therapy Assistant | 7734 Macedonia Rd, Houlka, MS 38850-7327 | 2015-06-04 |
| 1386781151 | Manda Sue Griffin | Nurse Practitioner | 400 Third Avenue Highway 32 West, Houlka, MS 38850-9004 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407319437 | Denyette Latham | Nurse Practitioner | 400 3rd Ave Hwy 32 W, Houlka, MS 38850 | 2019-04-08 |
| 1952781858 | Candace Miles | Occupational Therapy Assistant | 7734 Macedonia Rd, Houlka, MS 38850-7327 | 2015-06-04 |
| 1275874281 | Gsv Care Medical Clinic | Clinic/Center | 400 Third Avenue, Houlka, MS 38850 | 2013-03-15 |
| 1386781151 | Manda Sue Griffin | Nurse Practitioner | 400 Third Avenue Highway 32 West, Houlka, MS 38850-9004 | 2007-01-31 |
| 1457461527 | Access Family Health Services, Inc. | Clinic/Center | 106 Walker St, Houlka, MS 38850 | 2006-08-30 |
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913618 | Cynthia Marie Nonamaker | Nurse Practitioner | 4641 Ridge Rd, Columbus, MS 39705-2862 | 2020-08-23 |
| 1275145781 | Amanda Allred | Nurse Practitioner | 59 Lynn Lane, Starkville, MS 39759 | 2020-08-18 |
| 1093323461 | Lauren Elizabeth Boone | Nurse Practitioner | 3415 Shiloh Ln, Southaven, MS 38672-6045 | 2020-07-21 |
| 1558979229 | Adrianne Amanda Anderson | Nurse Practitioner | 8390 Ansley Park Ln, Southaven, MS 38672-8340 | 2020-07-20 |
| 1295343028 | Latesha Rochelle Williams | Nurse Practitioner | 309 Mcswain Rd, New Augusta, MS 39462-9760 | 2020-07-17 |
| 1316565914 | Youchoose | Nurse Practitioner | 10071 Imc Rd, Aberdeen, MS 39730-8408 | 2020-07-09 |
| 1891312948 | Courtney Rae Gordon | Nurse Practitioner | 601 Highway 80 E, Clinton, MS 39056-5122 | 2020-07-05 |
| 1568089977 | Kaitlin Johnson Hinton | Nurse Practitioner | 3275 Us 49 E, Collins, MS 39428 | 2020-07-01 |
| 1376169920 | Brittany Linton | Nurse Practitioner | 149 Fountains Blvd, Madison, MS 39110-6344 | 2020-06-19 |
| 1356960777 | Jennifer M Hunter | Nurse Practitioner | 8970 Lorraine Rd, Gulfport, MS 39503-4176 | 2020-04-15 |
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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.