Anna Glyn Wall

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1-161944 Issued in AL

Practice address

2452 Ridgemont Dr
Birmingham, AL 35244-1251

Phone

(205) 432-8196

NPI assigned

Apr 12, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1003496266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2452 RIDGEMONT DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352441251",
            "telephone_number": "205-432-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2452 RIDGEMONT DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352441251",
            "telephone_number": "205-432-8196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "ANNA",
        "middle_name": "GLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-161944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Allen Walker, MD
• Virginia Farlow Walker, CRNA
• Wendy Renee Walker, M.D.
• William Wise Walker
• Anji Elizabeth Wall, MD
• Austin David Wall III, MD
• Clarice Wall, MD
• Jaclyn A Wall, M.D.
• Jordan Wall, CRNP
• Kevin M Wall, MD

• All providers in Birmingham, AL
• Registered Nurse in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.