BRYAN PAUL WALTERS (NPI# 1639722168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639722168 |
Entity Type | Individual |
Full Name | BRYAN PAUL WALTERS |
Credential | RN |
Practice Address |
3525 E Louise Dr Ste 500 Meridian ID 83642-6305 |
Practice Telephone | 2087067050 |
Enumeration Date | 2019-07-23 |
Last Update Date | 2019-07-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WC3500X |
Registered Nurse Specialization: Cardiac Rehabilitation |
47491 | ID | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619389970 | Bryan Walters | Chiropractor | 3786 S East St, Indianapolis, IN 46227-1241 | 2014-05-21 |
1679723365 | Bryan S. Walters | Physician Assistant | 100 N Academy Ave, Danville, PA 17822-2170 | 2008-09-30 |
Street Address |
3525 E LOUISE DR STE 500 |
City | MERIDIAN |
State | ID |
Zip Code | 83642-6305 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609808328 | Nancy Nuce Taylor | Nurse Practitioner | 3525 E Louise Dr Ste 500, Meridian, ID 83642-6305 | 2006-07-06 |
1114571114 | Mary Christine Gilbert | Registered Nurse | 3525 E Louise Dr Ste 500, Meridian, ID 83642-6305 | 2019-07-29 |
1982189213 | Aya Andrews | Registered Nurse | 3525 E Louise Dr Ste 500, Meridian, ID 83642-6305 | 2018-10-02 |
1568941979 | Keslie Lynn Astley | Social Worker | 3525 E Louise Dr Ste 500, Meridian, ID 83642-6305 | 2018-08-08 |
1417454042 | Glynn Alan Reed | Respiratory Therapist, Certified | 3525 E Louise Dr Ste 500, Meridian, ID 83642-6305 | 2018-04-10 |
1902303704 | Jennifer Kay Bradley | Registered Nurse | 3525 E Louise Dr Ste 500, Meridian, ID 83642-6305 | 2018-04-09 |
1174020051 | Chaunce Dolan | Registered Nurse | 3525 E Louise Dr Ste 500, Meridian, ID 83642-6305 | 2018-04-09 |
1619474442 | Sharon M Ritz | Registered Nurse | 3525 E Louise Dr Ste 500, Meridian, ID 83642-6305 | 2018-04-09 |
1477050177 | Amanda Stillwell | Registered Nurse | 3525 E Louise Dr Ste 500, Meridian, ID 83642-6305 | 2018-04-09 |
1982101051 | Toby Christopher Rood | Registered Nurse | 3525 E Louise Dr Ste 500, Meridian, ID 83642-6305 | 2018-04-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
Find all providers in zip 83642 |
Taxonomy Code | 163WC3500X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Cardiac Rehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467919902 | Erin Gwynn | Registered Nurse | 3525 E Louise Dr, Meridian, ID 83642-6302 | 2019-02-20 |
1982189213 | Aya Andrews | Registered Nurse | 3525 E Louise Dr Ste 500, Meridian, ID 83642-6305 | 2018-10-02 |
1386133742 | Sara M Palma | Registered Nurse | 3525 E Louise Dr, Meridian, ID 83642-6302 | 2018-05-01 |
1831696590 | Natalie Meninga | Registered Nurse | 3525 E Louise Dr, Meridian, ID 83642-6302 | 2018-04-10 |
1558868174 | Erin Norton | Registered Nurse | 3525 E Louise Dr, Meridian, ID 83642-6302 | 2018-04-10 |
1982101564 | Rhonda M Frost | Registered Nurse | 3525 E Louise Dr, Meridian, ID 83642-6302 | 2018-04-10 |
1902303704 | Jennifer Kay Bradley | Registered Nurse | 3525 E Louise Dr Ste 500, Meridian, ID 83642-6305 | 2018-04-09 |
1174020051 | Chaunce Dolan | Registered Nurse | 3525 E Louise Dr Ste 500, Meridian, ID 83642-6305 | 2018-04-09 |
1619474442 | Sharon M Ritz | Registered Nurse | 3525 E Louise Dr Ste 500, Meridian, ID 83642-6305 | 2018-04-09 |
1477050177 | Amanda Stillwell | Registered Nurse | 3525 E Louise Dr Ste 500, Meridian, ID 83642-6305 | 2018-04-09 |
Find all providers in MERIDIAN |
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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.