Active NPI
Angel Lynette Walton, LPN
- Licensed Practical Nurse
- Euclid, OH
National Provider Identifier
1003590225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 180668
- Practice address
- 20611 Euclid Ave
Euclid, OH 44117-1521 - Phone
- (855) 967-2436
- NPI assigned
- Jun 9, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 180668 | OH | Primary |
Addresses
Primary practice location
20611 Euclid Ave
Euclid, OH 44117-1521
Mailing address
862 E 220TH St
Cleveland, OH 44119-1873
Phone (216) 320-7234
Other practice location 1
20611 Euclid Ave
Euclid, OH 44117-1521
Phone (855) 967-2436
Other practice location 2
20611 Euclid Ave
Euclid, OH 44117-1521
Phone (855) 967-2436
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180668 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686268800000",
"number": "1003590225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "862 E 220TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441191873",
"telephone_number": "216-320-7234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20611 EUCLID AVE",
"city": "EUCLID",
"state": "OH",
"postal_code": "441171521",
"telephone_number": "855-967-2436"
}
],
"practiceLocations": [
{
"address_1": "20611 Euclid Ave",
"address_purpose": "LOCATION",
"city": "Euclid",
"state": "OH",
"postal_code": "441171521",
"country_code": "US",
"telephone_number": "855-967-2436",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20611 Euclid Ave",
"address_purpose": "LOCATION",
"city": "Euclid",
"state": "OH",
"postal_code": "441171521",
"country_code": "US",
"telephone_number": "855-967-2436",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALTON",
"first_name": "ANGEL",
"middle_name": "LYNETTE",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-09",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "180668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Euclid, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.