Judy A Walton

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP138595 Issued in TX

Practice address

2625 Laurel St
Beaumont, TX 77702-2204

Phone

(409) 835-5382

NPI assigned

Nov 28, 2018

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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Beaumont Allergy Associates,PLLC

  • Allergy & Immunology Physician
  • Beaumont, TX
  • NPI 1699222919
  NPD (past)

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1033689484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 LAUREL ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777022204",
            "telephone_number": "409-833-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 LAUREL ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777022204",
            "telephone_number": "409-835-5382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "JUDY",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE NUMBER",
            "identifier": "API138595",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "API138595",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TBON RX AUTHORIZATION #",
            "identifier": "27411",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TXBON RN LICENSE NUMBER",
            "identifier": "803630",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walson, Inc.
• Jane Leskin Walston, PA-C
• Amye Diana Walters, N.P.
• Josie Walters, LVN
• Chrisleigh Nicole Walton
• Patrick Wamaitha, PHARMD
• Megan Yi-Lin Wang, SLP
• Edward Macon Ware
• Melissa Ann Ware, OTA
• Janet L Warner, RN MSN FNP-BC

• Family Nurse Practitioner in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.