STEFAN DUVAULL WALKER (NPI# 1629630462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629630462 |
| Entity Type | Individual |
| Full Name | STEFAN DUVAULL WALKER |
| Practice Address |
4135 W Michigan Ave Lansing MI 48917-2863 |
| Practice Telephone | 5177750799 |
| Mailing Telephone | 5177750799 |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
MI | Nursing Service Related Providers |
| Street Address |
4135 W MICHIGAN AVE |
| City | LANSING |
| State | MI |
| Zip Code | 48917-2863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053937102 | Tawni Klein | Speech-Language Pathologist | 701 Snow Rd Suite A, Lansing, MI 48917 | 2020-06-24 |
| 1639700545 | Steevens Pierre Mirville | Technician | 5814 Cabrena Drive, Lansing, MI 48917 | 2020-01-29 |
| 1376197830 | Cheryl Ann Day | Physical Therapist | 7107 Treasure Isle, Lansing, MI 48917 | 2019-08-01 |
| 1912423849 | National Seating & Mobility, Inc | Durable Medical Equipment & Medical Supplies | 419 Lentz Ct, Lansing, MI 48917 | 2017-08-22 |
| 1215367149 | Thomas Ball | Pharmacist | 5125 W Saginaw, Lansing, MI 48917 | 2013-11-13 |
| 1144658659 | Eaton Care Center, LLC | Skilled Nursing Facility | 12200 Broadbent, Lansing, MI 48917 | 2013-10-18 |
| 1154768596 | Casey Stokes | Physical Therapist | 4911 W St Joe Hwy Suite 101, Lansing, MI 48917 | 2013-05-24 |
| 1164774659 | Bona Birki Gada | Pharmacist | 2410 W. Willow St, Apt A203, Lansing, MI 48917 | 2012-10-08 |
| 1497037584 | Fms Lansing, LLC | Clinic/Center | 916 Mall Drive East, Suite 100, Lansing, MI 48917 | 2011-09-14 |
| 1326332396 | Talitha P Easterly | Psychologist | 302 South Waverly, Suite 1, Lansing, MI 48917 | 2011-06-07 |
| Find all providers in zip 48917 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285951483 | Jean Maynard | Technician | 2718 Geert Ct, Lansing, MI 48910-3747 | 2010-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786478 | Terrence Newton | Technician | 1435 Peachwood Dr, Flint, MI 48507-5633 | 2020-09-25 |
| 1487271649 | Ashley Meade-caplinger | Technician | 2328 7th St, Wyandotte, MI 48192-4316 | 2020-07-02 |
| 1598395295 | Dale Andrea Smith | Technician | 216 Railway St, Crystal Fall, MI 49920 | 2020-01-22 |
| 1760028559 | Arlene Lewis | Technician | 1350 E M 21 Ste 34, Owosso, MI 48867-8000 | 2019-11-27 |
| 1144864471 | Jessica Gomez | Technician | 1621 Benjamin St, Saginaw, MI 48602-5311 | 2019-10-30 |
| 1942843800 | Lynnette Marie Geib | Technician | N1872 Hwy M-35, Menominee, MI 49858 | 2019-10-23 |
| 1093358004 | Monika Hildegard Winters | Technician | 4150 Lake Pleasant Rd S, Osseo, MI 49266-9623 | 2019-10-22 |
| 1184267528 | Willie M Rhymes Jr. | Technician | 16020 W Chicago St, Detroit, MI 48228-2144 | 2019-10-17 |
| 1871134189 | Patricia Littleton | Technician | 4610 Akron Rd, Akron, MI 48701 | 2019-10-08 |
| 1457902140 | Linda Pabis | Technician | 5406 Canada Rd, Birch Run, MI 48415 | 2019-09-24 |
| 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.