SALLY JO WALTER (NPI# 1477632321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477632321 |
Entity Type | Individual |
Full Name | SALLY JO WALTER |
Credential | LSA |
Practice Address |
201 S Lakeline Blvd Suite 405 Cedar Park TX 78613-2718 |
Practice Telephone | 5123814272 |
Practice Fax Number | 5123814275 |
Mailing Telephone | 5123814272 |
Mailing Fax Number | 5123814275 |
Enumeration Date | 2006-11-03 |
Last Update Date | 2014-08-27 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
SA00311 | TX | Technologists, Technicians & Other Technical Service Providers |
Street Address |
201 S LAKELINE BLVD SUITE 405 |
City | CEDAR PARK |
State | TX |
Zip Code | 78613-2718 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912550708 | Jennifer Guevara Reyes | Counselor | 201 S Lakeline Blvd, Cedar Park, TX 78613-2718 | 2019-07-20 |
1366000127 | Chris John Kingsbury | Counselor | 201 S Lakeline Blvd, Cedar Park, TX 78613-2718 | 2019-06-05 |
1013404060 | Jillian Zuboy | Counselor | 201 S Lakeline Blvd, Cedar Park, TX 78613-2718 | 2018-04-16 |
1326570409 | Shine On Therapies of Austin Pllc | Speech-Language Pathologist | 201 S Lakeline Blvd, Suite 901-f, Cedar Park, TX 78613-2718 | 2017-03-29 |
1518400548 | Rht Consulting | Counselor | 201 S Lakeline Blvd, Suite 502-1, Cedar Park, TX 78613-2718 | 2016-11-22 |
1366796401 | Healthsource of Cedar Park, LLC | Chiropractor | 201 S Lakeline Blvd, Suite 204, Cedar Park, TX 78613-2718 | 2012-10-26 |
1720363658 | Tabitha Peterson | Counselor | 201 S Lakeline Blvd, Cedar Park, TX 78613-2718 | 2011-10-11 |
1346536356 | Patrick Michael Lin | Chiropractor | 201 S Lakeline Blvd, Suite 101, Cedar Park, TX 78613-2718 | 2011-06-28 |
1790070431 | Symmetry Health Chiropractic Center, Pllc | Chiropractor | 201 S Lakeline Blvd, Ste. 101, Cedar Park, TX 78613-2718 | 2011-06-10 |
1629362314 | Vanessa Lynn Longoria-carter | Counselor | 201 S Lakeline Blvd, 103, Cedar Park, TX 78613-2718 | 2011-05-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841891280 | Honor Audiology, LLC | Audiologist | 1807 Cypress Creek, Ste 106, Ceder Park, TX 78613 | 2020-11-03 |
1750980801 | Sheneil Roberts | Pharmacist | 101 Commercial Pkwy, Cedar Park, TX 78613 | 2020-10-20 |
1821606674 | Whitney Olivia White | Dentist | 4807 183a, Ste 100, Cedar Park, TX 78613 | 2020-07-17 |
1427681436 | Alex Parnell | Marriage & Family Therapist | 3000 Polar Lane, 602, Cedar Park, TX 78613 | 2020-02-18 |
1497216642 | Rolling Hills Healthcare, Inc. | Hospice Care, Community Based | 1101 Arrow Point Dr Ste 301, Cedar Park, TX 78613 | 2019-03-29 |
1265907828 | Mary Kathleen Williams | Clinical Nurse Specialist | 1103 Pagedale Drive, Cedar Park, TX 78613 | 2018-10-10 |
1982187514 | Elizabeth Harwell | Physical Therapy Assistant | 1500 Cottonwood Creek Trail, Cedar Park, TX 78613 | 2018-09-10 |
1346722246 | Riddhi Gohel | Optometrist | 11200 Lakeline Mall Dr Ste H5, Cedar Park, TX 78613 | 2018-09-06 |
1528546736 | Lakeline Emergency Center, LLC | Clinic/Center | 1860 S. Lakeline Blvd, Cedar Park, TX 78613 | 2018-07-31 |
1710464458 | Kelsey Alyse Hayes | Dietitian, Registered | 1401 Medical Pkwy B, Suite 101, Cedar Park, TX 78613 | 2018-07-25 |
Find all providers in zip 78613 |
Taxonomy Code | 246ZC0007X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
Specialization | Surgical Assistant |
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487894861 | Dinah Olguin | Specialist/Technologist, Other | 1702 Bow Ridge Dr, Cedar Park, TX 78613-1411 | 2009-02-25 |
1538270897 | Delfino Lorenzo Jr. | Specialist/Technologist, Other | 201 S Lakeline Blvd Ste 405, Cedar Park, TX 78613-2735 | 2006-08-31 |
1619442019 | Deanna Kay Peelgren | Specialist/Technologist, Other | 201 S Lakeline Blvd Ste 405, Cedar Park, TX 78613-2735 | 2018-10-11 |
1023429016 | Nicole Marie Huber | Specialist/Technologist, Other | 12600 Avery Ranch Blvd, Apt. 215, Cedar Park, TX 78613-1690 | 2014-05-13 |
1366733701 | Darissa Cherie Nordmeyer | Specialist/Technologist, Other | 201 S Lakeline Blvd Ste 405, Cedar Park, TX 78613-2735 | 2011-04-19 |
1861794521 | Todd Peter Nieskes | Specialist/Technologist, Other | 201 S Lakeline Blvd Ste 405, Cedar Park, TX 78613-2735 | 2010-11-30 |
1851567994 | Greater Austin Surgical Assistants, P.C. | Specialist/Technologist, Other | 201 S Lakeline Blvd Ste 405, Cedar Park, TX 78613-2735 | 2008-05-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598366791 | Erich Wittmer | Specialist/Technologist, Other | 2301 Links Dr, Edinburg, TX 78542-4542 | 2020-11-04 |
1366043705 | Patricia Vincenty-marquez | Specialist/Technologist, Other | 11308 Culberson Dr, Aubrey, TX 76227-8050 | 2020-11-03 |
1992306492 | Jennifer Suzanne Tatsch-gleason | Specialist/Technologist, Other | 7700 Floyd Curl Dr., San Antonio, TX 78229-3902 | 2020-11-03 |
1881294866 | Cynthia Alonzo | Specialist/Technologist, Other | 3800 Gaylord Pkwy Ste 410, Frisco, TX 75034-9419 | 2020-10-28 |
1356941652 | Synergistic Surgical Assistant | Specialist/Technologist, Other | 7414 Brookport, San Antonio, TX 78238-3528 | 2020-10-27 |
1225636103 | Daniel Martin Cornejo Navarro | Specialist/Technologist, Other | 25157 Resaca Santa Dr, San Benito, TX 78586-8889 | 2020-10-13 |
1497353593 | Jose De Jesus Alvarado Veloz | Specialist/Technologist, Other | 216 Mango Rd, El Paso, TX 79915-4314 | 2020-10-12 |
1639777824 | Eli Andres Pineda Faria | Specialist/Technologist, Other | 2218 Greenhouse Rd Apt 3224, Houston, TX 77084-7960 | 2020-10-11 |
1760089296 | Mark Evar Espiritu Ogbac | Specialist/Technologist, Other | 2119 Pacific Loon Lane, Conroe, TX 77385 | 2020-10-07 |
1871100735 | Helpinghandsbyterri, LLC | Specialist/Technologist, Other | 4050 Mcewen Rd Apt 18102, Dallas, TX 75244-5458 | 2020-09-24 |
Find all providers with the same taxonomy |
City | CEDAR PARK |
Zip Code | 78613 |
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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.