Individual provider Active NPI

Stephanie G Walter, DO

  • Pediatrics Physician
  • Wilmington, DE
National Provider Identifier
1013032770
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C20008477 Issued in DE
Practice address
1403 Foulk Rd Ste 103
Wilmington, DE 19803-2788
Phone
(302) 762-6222
Fax
(302) 764-6058
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X OS014105 PA
Pediatrics Physician 208000000X C20008477 DE Primary
General Practice Physician 208D00000X OS014105 PA
Pediatrics Physician 208000000X OS014105 PA

Addresses

Primary practice location

1403 Foulk Rd Ste 103
Wilmington, DE 19803-2788

Mailing address

1403 Foulk Rd Ste 103
Wilmington, DE 19803-2788
Phone (302) 762-6222

Other identifiers 3

IdentifierTypeStateIssuer
0141542MedicaidNJ
413365000MedicaidMD
102043734MedicaidPA

Other names 1

  • Stephanie Lynne Giunta Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250121001545 DE Practitioner - Pediatric Medicine 3678002680 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C20008477DEMDPediatrics Physician
OS014105PAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC Pediatrics CurrentSince Jan 1, 2025 Accepting new patients
Advocare , LLC General Practice CurrentSince Jan 1, 2025 Accepting new patients
Advocare, LLC Pediatrics Past Accepting new patients

Locations

3521 Silverside Rd
Ste 1F
Wilmington, DE 19810
Phone (302) 478-2613

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

Interoperability endpoints

  • Direct secure messaging: stephanie.walter@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1013032770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 FOULK RD STE 103",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032788",
            "telephone_number": "302-762-6222",
            "fax_number": "302-764-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 FOULK RD STE 103",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032788",
            "telephone_number": "302-762-6222",
            "fax_number": "302-764-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "STEPHANIE",
        "middle_name": "G",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "OS014105",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DE",
            "license": "C20008477",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "OS014105",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OS014105",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0141542",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413365000",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102043734",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "GIUNTA",
            "middle_name": "LYNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.