DEANNE ANGELA WALTERS (NPI# 1336759984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336759984 |
| Entity Type | Individual |
| Full Name | DEANNE ANGELA WALTERS |
| Practice Address |
1000 E Mountain Dr Wilkes Barre PA 18711-0027 |
| Mailing Address |
253 Frederick St Kingston PA 18704-2711 |
| Practice Telephone | 5708087300 |
| Mailing Telephone | 5705503245 |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | SP022340 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1000 E MOUNTAIN DR |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18711-0027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629077185 | Martha A. Danon | Radiology | 1000 E Mountain Dr, Wilkes Barre, PA 18711 | 2005-07-18 |
| 1982213062 | Erin Leigh Dougherty | Physician Assistant | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | 2020-07-24 |
| 1013525179 | Chelsea Lynn Lopatka | Nurse Practitioner | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0001 | 2020-07-15 |
| 1467060483 | Preston Benjamin Setzer | Pharmacist | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | 2020-07-15 |
| 1295382554 | Carol Teets | Nurse Practitioner | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | 2019-08-21 |
| 1417501941 | Krushna Shah | Pharmacist | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | 2019-08-01 |
| 1790269660 | Samantha Marie Weiksner | Pharmacist | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | 2018-09-18 |
| 1356825244 | Michelle Jeanne Butcher | Pharmacist | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | 2018-09-18 |
| 1467932863 | Arthur Jankowski | Pharmacist | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | 2018-08-15 |
| 1053891424 | Philip Scavo | Pharmacist | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | 2018-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467924274 | Leeann Kayal | Nurse Practitioner | 111 East End Boulevard, Wilkes Barre, PA 18711 | 2018-12-19 |
| 1336661701 | Patricia Dworak | Occupational Therapist | 1175 East Mountain Boulevard, Wilkes-barre, PA 18711 | 2017-07-07 |
| 1992160352 | Hope Danishanko | Social Worker | 111 East End Blvd, Wilkes Barre, PA 18711 | 2015-12-29 |
| 1477962785 | Jennifer L. Heck | Physical Therapist | 1140 Route 315, Suite 207, Wilkes-barre, PA 18711 | 2014-08-12 |
| 1821338807 | Melinda Flaim | Physical Therapist | 1555 East End Blvd, Wilkes Barre, PA 18711 | 2013-02-27 |
| 1598900953 | Elizabeth Patricia Keating | Pharmacist | 1000 East Mountain Drive, Wilkes Barre, PA 18711 | 2008-12-12 |
| 1457433294 | Christopher William O'brien | Specialist/Technologist | King's College, 133 North River Street, Wilkes-barre, PA 18711 | 2006-10-20 |
| 1821197450 | Louis Jay Freedman | Obstetrics & Gynecology | Valley Medical Building, 3rd Floor, 1010 East Mountain Boulevard, Wilkes-barre, PA 18711 | 2006-09-21 |
| 1730282625 | Natalia N Belikova | Internal Medicine | 1111 East End Boulvard, Wilkesbarre, PA 18711 | 2006-09-06 |
| 1609883628 | Va Medical Center | General Acute Care Hospital | 1111 East End Blvd., Wilkes-barre, PA 18711 | 2006-08-02 |
| Find all providers in zip 18711 | ||||
| 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 |
|---|---|---|---|---|
| 1043778236 | Jill Nicole Stahl | Nurse Practitioner | 677 Kidder St, Wilkes Barre, PA 18702-6908 | 2019-03-06 |
| 1306351028 | Nicole Lyn Dominick | Nurse Practitioner | 1130 Highway 315 Blvd Ste 4, Wilkes Barre, PA 18702-6952 | 2017-12-04 |
| 1578089884 | Jamie Lynn Konschnik | Nurse Practitioner | 1620 Highway 315 Blvd, Wilkes Barre, PA 18702-7125 | 2017-08-17 |
| 1437165305 | Tara Ann Allissa Cywinski | Nurse Practitioner | 545 River Street, 220, Wilkes Barre, PA 18702 | 2006-07-31 |
| 1588612246 | Deborah L. Torres | Nurse Practitioner | 15 Public Sq Ste 600, Wilkes Barre, PA 18701-1704 | 2006-05-05 |
| 1801889514 | Richard Edward Bunton | Nurse Practitioner | 6 Wildflower Dr., Wilkes Barre, PA 18702-3813 | 2005-08-27 |
| 1497387062 | Brittany Natassia Shipula | Nurse Practitioner | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2020-02-11 |
| 1316583818 | Donna L Menig | Nurse Practitioner | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2019-11-20 |
| 1295382554 | Carol Teets | Nurse Practitioner | 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | 2019-08-21 |
| 1609422351 | Bridget Colleen Fox | Nurse Practitioner | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2019-08-16 |
| Find all providers in WILKES BARRE | ||||
| City | WILKES BARRE |
| Zip Code | 18711 |
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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.