Helen Waller, BS

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

12080 Mendel Dr
Orlando, FL 32826

Phone

(386) 631-1793

NPI assigned

Oct 3, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412294400000",
    "number": "1003219130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12080 MENDEL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328262288",
            "telephone_number": "386-631-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12080 MENDEL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32826",
            "telephone_number": "386-631-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLER",
        "first_name": "HELEN",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-03",
        "last_updated": "2014-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1690461740",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simone Alisha Wallace, OD
• Sophia Wallace
• Tashoy M Wallace, APRN
• Michelle Ferrer Wallen, D.O.
• Ashley Waller
• Justin Blaine Waller, OD
• Jake Wallin
• Gracemarie Rosario Walls, PA-C
• Julia Marie Wallster
• Walmart

• Social Worker in Orlando, FL
• Providers in Orlando, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.