RICHARD LEE WALDEN (NPI# 1992253082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992253082 |
Entity Type | Individual |
Full Name | RICHARD LEE WALDEN |
Credential | RN |
Practice Address |
3413 Washington Ave Ste. A Gulfport MS 39507-3039 |
Practice Telephone | 2282067780 |
Practice Fax Number | 2282067803 |
Mailing Telephone | 2282067780 |
Mailing Fax Number | 2282067803 |
Enumeration Date | 2016-09-17 |
Last Update Date | 2016-09-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | R895162 | MS | Nursing Service Providers |
Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
R895162 | MS | Nursing Service Providers |
Street Address |
3413 WASHINGTON AVE STE. A |
City | GULFPORT |
State | MS |
Zip Code | 39507-3039 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306147947 | Richard Brown Ray Jr. | Nurse Practitioner | 3413 Washington Ave, Gulfport, MS 39507-3039 | 2010-11-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609389105 | Karen R Burns | Speech-Language Pathologist | 3506 Washington Avenue, Ste E, Gulfport, MS 39507 | 2017-11-07 |
1538605027 | Andrea Broussard | Personal Emergency Response Attendant | 406 Pass Rd, Gulfport, MS 39507 | 2017-01-09 |
1366872491 | William Alexis Marcia | Pharmacist | 1444 East Pass Road, Gulfport, MS 39507 | 2013-11-27 |
1740599380 | Advanced Hearing Systems, Inc. | Hearing Instrument Specialist | 401 Security Square, Gulfport, MS 39507 | 2010-09-30 |
1497068118 | Stacey Ritter Carter | Dentist | 1635 East Pass Road, Gulfport, MS 39507 | 2010-07-22 |
1477789964 | Letonoff Orthopaedics & Sports | Orthopaedic Surgery | 452 Court House Road, Suite G, Gulfport, MS 39507 | 2009-06-10 |
1730385139 | Bernard Frederick Podlin | Dentist | 400 Pass Road, Gulfport, MS 39507 | 2007-06-22 |
1043422553 | Mark D Stringer | Dentist | 520-a Courthouse Road, Gulfport, MS 39507 | 2007-05-04 |
1154543528 | Pass Road Elementary | Registered Nurse | 37 Pass Road, Gulfport, MS 39507 | 2007-05-03 |
1417073768 | John Hough Hopkins | Dentist | 3303 A Ave, Gulfport, MS 39507 | 2007-03-21 |
Find all providers in zip 39507 |
Taxonomy Code | 163WP0808X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114139581 | Mary Elizabeth Grant | Registered Nurse | 1120 63rd St S, Gulfport, FL 33707-3125 | 2007-05-05 |
1497219794 | Rebecca Finnemore | Registered Nurse | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2019-01-31 |
1922562354 | Christiana Ratcliff | Registered Nurse | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2019-01-30 |
1396907655 | Pamela L Giveans | Registered Nurse | 8990 Lorraine Rd, Gulfport, MS 39503-4176 | 2008-06-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043734049 | Creative Solutions Counseling Services Pllc | Registered Nurse | 902 14th St Ste B, Meridian, MS 39301-4455 | 2017-08-01 |
1275073157 | Martha Phillips Catlette | Registered Nurse | 64 Pratt Place Rd, Inverness, MS 38753-9574 | 2017-02-27 |
1558770784 | Tylinda Cotton | Registered Nurse | 91180 Hwy 42 West, Richton, MS 39476 | 2014-08-13 |
1508042722 | Mary Dean Stone | Registered Nurse | 2100 East Chamberss, Booneville, MS 38829 | 2008-01-17 |
1144406430 | Amy Cole | Registered Nurse | 2100 East Chambers, Booneville, MS 38829 | 2008-01-16 |
1689791105 | Cheri Delilah Ann Beck | Registered Nurse | 804 Road 1349, Mooreville, MS 38857-7325 | 2007-03-22 |
1114533288 | Lasontiga Forrest | Registered Nurse | 1701 White St, Mccomb, MS 39648-2711 | 2020-09-23 |
1063028512 | Bobbi Jo Beck | Registered Nurse | 101 Highway 7 S, Greenwood, MS 38930-6055 | 2020-09-21 |
1811502024 | Wendy Hopkins | Registered Nurse | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-09-14 |
1790393072 | Melba Richardson | Registered Nurse | 330b Highway 90, Gautier, MS 39553-5744 | 2020-07-22 |
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.