KAITLIN WALLS (NPI# 1457884231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457884231 |
| Entity Type | Individual |
| Full Name | KAITLIN WALLS |
| Practice Address |
1845 Veterans Park Dr Ste 210 Naples FL 34109 |
| Mailing Address |
1845 Veterans Park Dr Ste 210 Naples FL 34109-0493 |
| Practice Telephone | 2396240530 |
| Practice Fax Number | 2396240541 |
| Mailing Telephone | 2396240530 |
| Mailing Fax Number | 2396240531 |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2018-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
ARNP9327469 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE | IY345Z | 01 |
| FL | BCBS | WXNEY | 01 |
| Street Address |
1845 VETERANS PARK DR STE 210 |
| City | NAPLES |
| State | FL |
| Zip Code | 34109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588807333 | Florina Neagu | Specialist | 1845 Veterans Park Dr Ste 210, Naples, FL 34109-0493 | 2009-04-09 |
| 1083140081 | Shayna Smallwood | Family Medicine | 1845 Veterans Park Dr Ste 210, Naples, FL 34109-0493 | 2017-05-11 |
| 1154602324 | John Anthony Pennisi | Family Medicine | 1845 Veterans Park Dr Ste 210, Naples, FL 34109-0493 | 2011-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407325467 | Dah Therapies LLC | Clinic/Center | 4750 Aston Gardens Way, Therapy Room, Second Floor, Naples, FL 34109 | 2018-11-20 |
| 1003302712 | Ocuflow Doppler LLC | Radiology | 1855 Veterans Park Drive, Naples, FL 34109 | 2018-07-05 |
| 1114417508 | Vascular Center of Naples Inc. | Surgery | 5490 Bryson Dr Ste 201, Naples, FL 34109 | 2018-05-11 |
| 1497257968 | Neuro-tech Inc | Behavioral Analyst | 5687 Naples Blvd Suite A, Naples, FL 34109 | 2018-03-01 |
| 1407302177 | Kendria Brown | Behavioral Analyst | 10641 Airport Pulling Road, Naples, FL 34109 | 2016-08-31 |
| 1255789368 | Ideal Image | Specialist | 1485 Pine Ridge Road Unit #1, Naples, FL 34109 | 2016-05-31 |
| 1790153062 | Lee Memorial Health System | Pharmacy | 3361 Pine Ridge Rd, Suite 100, Naples, FL 34109 | 2015-09-03 |
| 1922400340 | North Naples Pediatric Center | Pediatrics | 9160 Galleria Court, Naples, FL 34109 | 2014-09-17 |
| 1720326978 | Evan Michael Asay | Occupational Therapist | 1865 Veterans Park Drive, Suite 101, Naples, FL 34109 | 2013-01-23 |
| 1942599436 | Anchors Away Medical Corp. | Internal Medicine | 1495 Pine Ridge Rd., Suite 4, Naples, FL 34109 | 2011-04-05 |
| Find all providers in zip 34109 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124450077 | Hispanic Health Enterprises LLC | Clinical Nurse Specialist | 4990 Golden Gate Pkwy Ste 2, Naples, FL 34116-6962 | 2013-08-02 |
| 1043545908 | Deborah Carl Mccormick | Clinical Nurse Specialist | 1425 Creech Rd., Naples, FL 34103-4207 | 2009-10-12 |
| 1427032184 | Janice E Mazur | Clinical Nurse Specialist | 1250 Pine Ridge Road, Naples, FL 34108 | 2005-12-05 |
| 1558735522 | The Doc Now | Clinical Nurse Specialist | 2355 Vanderbilt Beach Rd, Suite 146, Naples, FL 34109-2766 | 2015-11-13 |
| 1760728554 | Cindy L. Brown | Clinical Nurse Specialist | 720 Goodlette Rd N, Suite 500, Naples, FL 34102-5656 | 2012-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023633153 | Yoandy Perez | Clinical Nurse Specialist | 4304 Alton Rd Apt 212, Miami Beach, FL 33140-2879 | 2020-06-15 |
| 1699301317 | Jennifer Esther Strickland | Clinical Nurse Specialist | 3219 Shadow Creek Rd, Jacksonville, FL 32226-2386 | 2020-03-13 |
| 1457986317 | Alejandro Oliveros | Clinical Nurse Specialist | 11663 Sw 152nd Pl, Miami, FL 33196-5238 | 2020-03-10 |
| 1467092080 | Andres Gomez | Clinical Nurse Specialist | 17269 Nw 60th Ct # Ct511, Hialeah, FL 33015-4665 | 2020-01-11 |
| 1750851044 | Darmeta Rashane Bradley | Clinical Nurse Specialist | 1949 Beacon Bay Ct, Apopka, FL 32712-8190 | 2018-11-28 |
| 1194259903 | Andress L Burney | Clinical Nurse Specialist | 2065 Nobscot Pl, Apopka, FL 32703-8421 | 2017-04-18 |
| 1740729334 | Taiwo Emiola | Clinical Nurse Specialist | 106 W Windhorst Rd Fl 33510, Brandon, FL 33510-2455 | 2017-02-16 |
| 1104362904 | Great Patoombal | Clinical Nurse Specialist | 852 Quartz Ter, West Palm Beach, FL 33413-1200 | 2017-01-17 |
| 1659738318 | Yudith Simon | Clinical Nurse Specialist | 12111 Sugarloaf Key St Apt 102, Tampa, FL 33626-2746 | 2016-01-25 |
| 1538524681 | Barbara Yordanka Valero Lopez | Clinical Nurse Specialist | 18000 Nw 68th Ave Apt 106, Hialeah, FL 33015-3942 | 2015-12-16 |
| 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.