BEVERLY INGE WALTI (NPI# 1609087261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609087261 |
| Entity Type | Individual |
| Full Name | BEVERLY INGE WALTI |
| Credential | RN, MSN, CPNP, CNS |
| Practice Address |
455 S Main St Orange CA 92868-3835 |
| Mailing Address |
33 San Patricio Rancho Santa Margarita CA 92688-2509 |
| Practice Telephone | 7142894719 |
| Mailing Telephone | 9494595591 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WN0002X |
Registered Nurse Specialization: Neonatal Intensive Care |
399342 | CA | Nursing Service Providers |
| Street Address |
455 S MAIN ST |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-3835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033191473 | Nancy Ann Varni | Nurse Practitioner | 455 S Main St, Orange, CA 92868-3835 | 2005-11-18 |
| 1265776587 | Victor Wang | Pediatrics | 455 S Main St, Orange, CA 92868-3835 | 2012-11-27 |
| 1487906152 | Nancy Kuntz | Nurse Practitioner | 455 S Main St, Orange, CA 92868-3835 | 2012-10-05 |
| 1023360914 | Youngeun Park | Pediatrics | 455 S Main St, Orange, CA 92868-3835 | 2012-10-03 |
| 1295085918 | Stacey Jannette Bass | Nurse Practitioner | 455 S Main St, Orange, CA 92868-3835 | 2012-09-11 |
| 1003165267 | Jennifer Michelle Shively | Nurse Practitioner | 455 S Main St, Orange, CA 92868-3835 | 2012-09-04 |
| 1437406014 | Heidi Rens | Pharmacist | 455 S Main St, Orange, CA 92868-3835 | 2012-08-13 |
| 1992065361 | Jina Lim | Pediatrics | 455 S Main St, Orange, CA 92868-3835 | 2012-05-20 |
| 1386901700 | Elizabeth Marie Torok | Nurse Practitioner | 455 S Main St, Orange, CA 92868-3835 | 2012-04-23 |
| 1942578117 | Cassandra Lynn Stewart | Pediatrics | 455 S Main St, Orange, CA 92868-3835 | 2011-12-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| Taxonomy Code | 163WN0002X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Neonatal Intensive Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497370704 | Amy Gorence | Registered Nurse | 2385 Sheri Pl, Alpine, CA 91901-4805 | 2020-06-11 |
| 1497307813 | Ivonne Jeanette Garcia | Registered Nurse | 9800 Marklein Ave, North Hills, CA 91343-2131 | 2019-07-16 |
| 1912464017 | Betty Nyantakyiwaah Boateng | Registered Nurse | 7313 Fallbrook Ave, West Hills, CA 91307-2105 | 2019-02-25 |
| 1306302591 | Rosalind Susan Wiggins | Registered Nurse | 4323 Palo Verde Ave, Lakewood, CA 90713-2948 | 2019-02-13 |
| 1376008292 | Christina Thai | Registered Nurse | 2920 International Blvd, Oakland, CA 94601-2228 | 2019-02-05 |
| 1295218212 | Tran T Tran | Registered Nurse | 415 W Carroll Ave Ste 201, Glendora, CA 91741-4208 | 2018-09-14 |
| 1700239472 | Cynthia M Serrano | Registered Nurse | 13065 Peyton Dr Ste D, Chino Hills, CA 91709-6019 | 2016-07-19 |
| 1366803140 | Carolyn Burnham | Registered Nurse | 157 Brentwood Drive, Lake Arrowhead, CA 92352 | 2016-03-08 |
| 1306205109 | Kisha Fausett | Registered Nurse | 3020 Childrens Way # Mc5008, San Diego, CA 92123-4223 | 2016-02-22 |
| 1801254354 | Claire Choice | Registered Nurse | 12 Greco Aisle, Irvine, CA 92614-0272 | 2016-01-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BEVERLY INGE WALTI.
| 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.