MITZI WALKER (NPI# 1790143733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790143733 |
Entity Type | Individual |
Full Name | MITZI WALKER |
Other Name | THEORTIS WALKER |
Credential | RN |
Practice Address |
676 Brookwood Dr Olympia Fields IL 60461-1510 |
Practice Telephone | 7734749150 |
Mailing Telephone | 7734749150 |
Enumeration Date | 2016-02-05 |
Last Update Date | 2016-02-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
041-231858 | IL | Nursing Service Providers |
Y | 163WS0200X |
Registered Nurse Specialization: School |
041-231858 | IL | Nursing Service Providers |
Street Address |
676 BROOKWOOD DR |
City | OLYMPIA FIELDS |
State | IL |
Zip Code | 60461-1510 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609372564 | Katherine Gill Haddad | Student in an Organized Health Care Education/Training Program | 20201 S. Crawford Avenue, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2018-03-31 |
1750886610 | Kim Minh Dang | Student in an Organized Health Care Education/Training Program | 20201 South Crawford, Olympia Fields, IL 60461 | 2018-03-23 |
1619484110 | Alexandra N. Douvas | Dentist | 20180 Governors Hwy, Ste 104, Olympia Fields, IL 60461 | 2018-01-05 |
1992258438 | Krystyne Doty | Nurse Practitioner | 3800 W 203rd St Ste 209, Olympia Fields, IL 60461 | 2016-08-02 |
1205286747 | Shirlene Umali | Registered Nurse | 20201 South Crawford Ave, Olympia Fields, IL 60461 | 2016-06-15 |
1386002590 | Touch of Wholeness Psychological Services, LLC | Psychologist | 20280 Governors Dr, Suite 207, Olympia Fields, IL 60461 | 2016-02-02 |
1063895357 | David Dardick | Dentist | 20180 Governors Hwy Ste 104, Olympia Fields, IL 60461 | 2015-07-04 |
1811378623 | Fins Healthcare Agency | Nursing Care | 3612 Lincohn Highway, Suite 19, Olympia Fields, IL 60461 | 2015-06-17 |
1285048959 | Garud Ranga Raj | Orthopaedic Surgery | 20817 Alexander St, Olympia Fields, IL 60461 | 2014-06-20 |
1811316334 | Brett Hapeman | Emergency Medicine | 20201 S Crawford, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2014-04-11 |
Find all providers in zip 60461 |
Taxonomy Code | 163WS0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497377865 | Koren Mauch | Registered Nurse | 718 S Locust St, Sycamore, IL 60178-2227 | 2020-05-08 |
1861037731 | Teresa Lynnell Shiley | Registered Nurse | 7414 Cass Ave, Darien, IL 60561-3608 | 2019-11-14 |
1730745332 | Nan Chinratana Phillips | Registered Nurse | 427 Spartan Trail Shs Nurse Office, Sycamore, IL 60178 | 2019-05-20 |
1134785108 | Patrice A Pritchard | Registered Nurse | 820 Borden Ave, Sycamore, IL 60178-3270 | 2019-05-15 |
1164088308 | Kristin Tilton | Registered Nurse | 150 Maplewood Dr, Sycamore, IL 60178-1225 | 2019-05-14 |
1710451380 | Angela L Shires | Registered Nurse | 333 W College St, Harrisburg, IL 62946-2599 | 2019-01-17 |
1891278396 | Marlaina Felice Reel | Registered Nurse | 1400 N Charles St, Belleville, IL 62221-4858 | 2018-09-11 |
1245710763 | Diana Guzman | Registered Nurse | 3424 Ruby St, Franklin Park, IL 60131-1722 | 2018-08-14 |
1700365764 | Peggy Lynn Cook | Registered Nurse | 3300 W Maple St, Evergreen Park, IL 60805-3044 | 2018-08-10 |
1407334766 | Tamra L Sanders | Registered Nurse | 110 N Kenilworth Ave Apt 4e, Oak Park, IL 60301-1216 | 2018-07-30 |
Find all providers with the same taxonomy |
City | OLYMPIA FIELDS |
Zip Code | 60461 |
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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.