Active NPI
Walter Akwo
- Psychiatric/Mental Health Nurse Practitioner
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP61256413
- Practice address
- 10710 Evergreen Way Apt G207
Everett, WA 98204-4332 - Phone
- (408) 806-3840
- NPI assigned
- Dec 10, 2010
- Last updated
- Jul 27, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1053215 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61256413 | WA | Primary |
Addresses
Primary practice location
10710 Evergreen Way Apt G207
Everett, WA 98204-4332
Mailing address
3051 Colonial Way Apt 8
San Jose, CA 95128-4311
Phone (408) 806-3840
Other practice location 1
793 Bosley
Fate, TX 75087-0227
Phone (408) 806-3840
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 47TH St SE
Heritage House at Paris Rehab and Nursing
Paris, TX 75462-7417
Phone (903) 784-3100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current | Accepting new patients |
| Gracepoint Psychiatry and Wellness Services LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Senior Psychcare of Dallas I, PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Prodigy Home Health & Hospice Care LLC | Past | Accepting new patients | |
| Crescent Outpatient and Wellness PLLC | Psychiatric/Mental Health | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
1900 Oneal St
Gainesville, TX 76240
Phone (940) 665-2826
4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777
700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391
4200 Shepherd Ln
Mesquite, TX 75180
Phone (972) 286-0335
150 47th St SE
Paris, TX 75462
Phone (903) 784-3100
7146 Baker Blvd
Richland Hills, TX 76118
Phone (817) 589-1734
1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Houston, TX
- NPI 1942596903
Psychiatric/Mental Health
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
Psychiatric/Mental Health, TX, WA
-
- Psychiatric/Mental Health Nurse Practitioner
- Austin, TX
- NPI 1477269611
-
- Home Health Agency
- Fate, TX
- NPI 1720564743
-
dba Crescent Wellness Center
- Psychiatric/Mental Health Nurse Practitioner
- Mercer Island, WA
- NPI 1841984119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1003119116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3051 COLONIAL WAY APT 8",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951284311",
"telephone_number": "408-806-3840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10710 EVERGREEN WAY APT G207",
"city": "EVERETT",
"state": "WA",
"postal_code": "982044332",
"telephone_number": "408-806-3840"
}
],
"practiceLocations": [
{
"address_1": "793 Bosley",
"address_purpose": "LOCATION",
"city": "Fate",
"state": "TX",
"postal_code": "750870227",
"country_code": "US",
"telephone_number": "408-806-3840",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AKWO",
"first_name": "WALTER",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-10",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1053215",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP61256413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.