DR. WALTER MERLE WALLIS (NPI# 1548355191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548355191 |
| Entity Type | Individual |
| Full Name | DR. WALTER MERLE WALLIS |
| Credential | MD |
| Practice Address |
4526 Federal Ave Bldg 9 Everett WA 98203 |
| Practice Telephone | 4253496320 |
| Practice Fax Number | 4253496325 |
| Mailing Telephone | 4253496320 |
| Mailing Fax Number | 4253496325 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD00014381 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
4526 FEDERAL AVE BLDG 9 |
| City | EVERETT |
| State | WA |
| Zip Code | 98203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053399923 | Kate Hume | Nurse Practitioner | 4526 Federal Ave, Everett, WA 98203-2132 | 2006-01-02 |
| 1447850581 | Latricia Annette Johnson | Registered Nurse | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-10-28 |
| 1073113320 | Carolyne Wambui Kiragu | Registered Nurse | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-10-27 |
| 1447859426 | Marko Kalaba | Licensed Practical Nurse | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-10-21 |
| 1053919068 | Laura L Hopf | Counselor | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-10-12 |
| 1821696154 | Dalia Belen Mendoza-sanchez | Registered Nurse | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-10-09 |
| 1962019208 | Madeline Nicole Schmitt | Student in an Organized Health Care Education/Training Program | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-09-30 |
| 1396352837 | Matthew Robert Brandt | Behavior Technician | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-09-29 |
| 1023625886 | Judith Effenberger | Peer Specialist | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-09-25 |
| 1790391928 | Stephen Sullivan | Behavior Technician | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-09-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226039 | Lisa Mcgregor | Counselor | Sea Mar Community Health Centers, 5007 Claremont Way, Everett, WA 98203 | 2020-08-20 |
| 1417572009 | Megan Ostermick-durkee | Student in an Organized Health Care Education/Training Program | Sunrise Services Inc., 811 Madison Street, Everett, WA 98203 | 2020-06-10 |
| 1134741424 | Tara Lin Garcia | Peer Specialist | 4256 Federal Avenue, Everett, WA 98203 | 2020-05-11 |
| 1225505241 | Reverie Aurora Shunny | Counselor | Sunrise Service Inc., 811 Madison Street, Everett, WA 98203 | 2018-10-29 |
| 1205313483 | Kristina Renee Bylenga | Counselor | Compass Health 4526 Federal Avenue M/s # 11, Everett, WA 98203 | 2018-07-20 |
| 1306384300 | Shantijoy Inc | Naturopath | 5208 S 2nd Ave, Everett, WA 98203 | 2017-02-09 |
| 1922545276 | Ekaterina Malinovska Dds Pllc | Dentist | 5920 Evergreen Way Suite E, Everett, WA 98203 | 2017-01-25 |
| 1326404104 | Job Oichoe | Counselor | 4625 Federal Ave, Everett, WA 98203 | 2016-01-08 |
| 1427423292 | Ross Lee Voorhees | Counselor | 4423 S 3rd Ave, Everett, WA 98203 | 2015-12-04 |
| 1447642376 | Adam Schneider | Counselor | 4526 Federal Ave # 40, Everett, WA 98203 | 2015-03-02 |
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| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225674963 | Multicare Health System | Psychiatry & Neurology | 4700 Point Fosdick Dr Ste 319, Gig Harbor, WA 98335-1731 | 2019-11-18 |
| 1235792326 | Wellpsyche Seattle PC | Psychiatry & Neurology | 801 2nd Ave Ste 800, Seattle, WA 98104-1573 | 2019-04-15 |
| 1043624240 | Lucas Mcintyre | Psychiatry & Neurology | 316 S I St Fl 1, Tacoma, WA 98405-4212 | 2014-06-16 |
| 1184043010 | Shad Syed Ali | Psychiatry & Neurology | 2511 M Ave Ste G, Anacortes, WA 98221-3897 | 2014-04-08 |
| 1710223896 | Jack Raskin | Psychiatry & Neurology | 2624 161st Ave Se, Bellevue, WA 98008-5424 | 2012-12-18 |
| 1801140876 | Deborah L. Hickey, D.o.ps | Psychiatry & Neurology | 6512-20th St Ct W #c, Firerest, WA 98466-6212 | 2012-10-30 |
| 1073884102 | Larry W. Einspahr, M.d., P.s. | Psychiatry & Neurology | 5400 Carillon Pt Bldg 5000, 4th Floor, Kirkland, WA 98033-7357 | 2012-01-20 |
| 1982922233 | Brian N Gipstein | Psychiatry & Neurology | 4407 S Madelia St, Spokane, WA 99223-6429 | 2010-05-12 |
| 1063667087 | Robert S Fleming II | Psychiatry & Neurology | 16921 14th Ave Nw, Shoreline, WA 98177-3840 | 2008-11-18 |
| 1306000898 | Amy Lazar | Psychiatry & Neurology | 11820 Northup Way Ste E200, Bellevue, WA 98005-1966 | 2008-07-14 |
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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.