MRS. PATTI JANE WALTERS (NPI# 1376576413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376576413 |
| Entity Type | Individual |
| Full Name | MRS. PATTI JANE WALTERS |
| Credential | RN |
| Practice Address |
5342 Dudley Blvd Bldg 98 Room 1k05 Mcclellan CA 95652-1012 |
| Mailing Address |
7036 Yarrow Way Citrus Heights CA 95610-4026 |
| Practice Telephone | 9165617525 |
| Practice Fax Number | 9165617529 |
| Mailing Telephone | 9167224809 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
423996 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851569131 | Patti Sue Walters | Nurse Practitioner | 1606 N 7th St, Terre Haute, IN 47804-2706 | 2008-02-20 |
| Street Address |
5342 DUDLEY BLVD BLDG 98 ROOM 1K05 |
| City | MCCLELLAN |
| State | CA |
| Zip Code | 95652-1012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548688955 | Wenxia Han | Registered Nurse | 3401 Beech St, Bldg 949, Mcclellan, CA 95652 | 2014-04-02 |
| 1902231897 | Marisa Salas Silva | Social Worker | 3401 Beech Street, Bldg 949, Mcclellan, CA 95652 | 2013-09-10 |
| 1295070290 | Stephanie Ann Bost | Dietitian, Registered | 3401 Beech St., Mcclellan, CA 95652 | 2012-12-01 |
| 1811276025 | Brian C Choi | Dentist | 5401 Arnold Avenue, Bldg. 88, Sacramento, CA 95652 | 2011-08-05 |
| 1154408391 | California Shock Trauma Air Rescue | Ambulance | 4933 Bailey Loop, Mcclellan, CA 95652 | 2006-11-01 |
| 1083704530 | Gerald Yang | Dentist | 5401 Arnold Avenue, Sacramento, CA 95652 | 2006-10-13 |
| 1104910652 | Ann Marie Mullen | Audiologist | 5342 Dudley Blvd., Sacramento, CA 95652 | 2006-10-02 |
| 1831174556 | Mark A Duckett | Dentist | 4101 Arnold Ave, Va /mcclellan Dental Service, Scramento, CA 95652 | 2005-12-15 |
| 1073596581 | Jane P Addagatla | Internal Medicine | Va Mcclellan Opc, 5342 Dudley Blvd,bldg 98, Mcclellan Park, CA 95652 | 2005-11-29 |
| 1528518321 | Dana Kirkwood Adkins | Social Worker | 3401 Beech Street, Building 949, Room #225, Mcclellan, CA 95652 | 2016-10-05 |
| Find all providers in zip 95652 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548688955 | Wenxia Han | Registered Nurse | 3401 Beech St, Bldg 949, Mcclellan, CA 95652 | 2014-04-02 |
| 1619262995 | Caitlin Elizabeth Baumgardner | Registered Nurse | 5342 Dudley Blvd, Bldg 98, Mcclellan, CA 95652-1012 | 2011-06-14 |
| 1285866939 | Celeste Clark | Registered Nurse | 5342 Dudley Blvd # 98, Mcclellan, CA 95652-1012 | 2009-08-13 |
| 1609002260 | Michelle Louise Maddin | Registered Nurse | 3230 Peacekeeper Way, Bldg 209, Mcclellan, CA 95652-2609 | 2009-06-09 |
| 1316187230 | Tyelahnai Lil' Lean Frelix | Registered Nurse | 3230 Peacekeeper Way, Mcclellan, CA 95652-2609 | 2009-03-05 |
| 1679751648 | Janet L Pierson | Registered Nurse | 5342 Dudley Blvd, #98 11c-3, Mcclellan, CA 95652 | 2008-02-01 |
| 1104036151 | Michele C Misener | Registered Nurse | 3230 Peacekeeper Way, Mcclellan, CA 95652-2600 | 2007-05-22 |
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|---|---|---|---|---|
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| 1982220653 | Karen Elizabeth Mitchell | Registered Nurse | County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 | 2020-06-18 |
| 1932724689 | Deborah Ruth Toga | Registered Nurse | 587 Prospect Blvd, Pasadena, CA 91103-3235 | 2020-06-09 |
| 1750904066 | Emer Gaite | Registered Nurse | 1697 Greenyard Ct, Brentwood, CA 94513-5844 | 2020-05-20 |
| 1396367140 | Janice Ann Oliver | Registered Nurse | 4393 Date Ave, La Mesa, CA 91941-6412 | 2020-05-15 |
| 1083236863 | Rachel Materum | Registered Nurse | 2190 Holder Ln, Tracy, CA 95377-9575 | 2020-05-14 |
| 1154943926 | Susan Guajardo | Registered Nurse | 2695 Country Ln, Westlake Village, CA 91361-5534 | 2020-05-14 |
| 1336761329 | Nancy Davis | Registered Nurse | 307 Greenview Rd, Escondido, CA 92026-3932 | 2020-05-12 |
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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.