Headley Junior Ricky Walters, BSN, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

RN9395952 Issued in FL

Practice address

14400 SW 32ND St
Miami, FL 33175-6545

Phone

(305) 220-9599

NPI assigned

Oct 14, 2019

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

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.

• Miami Cerebral Palsy Residential Services, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Miami, FL
  • NPI 1386780419
  NPD (past)
• Podiatry Care Partners Inc

  • Foot & Ankle Surgery Podiatrist
  • Doral, FL
  • NPI 1699041467
  NPD (past)

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1043852809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22018 SW 93RD PL",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331901230",
            "telephone_number": "786-804-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14400 SW 32ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756545",
            "telephone_number": "305-220-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "HEADLEY",
        "middle_name": "JUNIOR RICKY",
        "name_prefix": "Mr.",
        "credential": "BSN, RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "FL",
            "license": "RN9395952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly A Walsh, OTD
• Walter R. Mullin, M.D, P.a
• Walter Ramirez MD PA
• Joycelyn Agatha Walter, M.D.
• Antolee Walters
• Karen Walters
• Zachary Paul Walters
• Harriett Jaqueal Walthour
• Casey Earle Walton
• Erica Patrice Walton

• General Practice Registered Nurse in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.