Individual provider Active NPI

Althea Joanne Walters, APRN

  • Family Nurse Practitioner
  • Dunnellon, FL
National Provider Identifier
1053902858
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11011355 Issued in FL
Practice address
11371 N Williams St Ste 4
Dunnellon, FL 34432-8362
Phone
(352) 465-2273
NPI assigned
Feb 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11011355 FL Primary

Addresses

Primary practice location

11371 N Williams St Ste 4
Dunnellon, FL 34432-8362

Mailing address

PO Box 2066
Lecanto, FL 34460-2066
Phone (352) 563-0931

Other identifiers 1

IdentifierTypeStateIssuer
110428000MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@quickcaremed.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210429001100 FL Practitioner - Nurse Practitioner 9537578760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quick Care Med, LLCGroup PAC ID 8325202740, 14 clinicians

Practice addresses (Care Compare)

11371 N Williams St
Suite 4
Dunnellon, FL 34432-8362
Phone (352) 465-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11011355FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quick Care Med LLC CurrentSince Apr 12, 2021 Accepting new patients
Quick Care Med, LLC CurrentSince Apr 12, 2021 Accepting new patients
Quick Care Med, LLC Past Accepting new patients
Quick Care Med, LLC Past Accepting new patients
Quick Care Med, LLC Past Accepting new patients
Quick Care Med, LLC Past Accepting new patients
Quick Care Med, LLC Past Accepting new patients

Locations

3925 N Lecanto Hwy
Beverly Hills, FL 34465
Phone (352) 527-7336

2205 N Young Blvd
Chiefland, FL 32626
Phone (352) 535-2273

659 NE US Highway 19
Unit 1
Crystal River, FL 34429
Phone (352) 563-0911

11371 N Williams St
Ste 4
Dunnellon, FL 34432
Phone (352) 465-2273

3956 S Suncoast Blvd
Homosassa, FL 34448
Phone (352) 628-0911

1907 Highway 44 W
Inverness, FL 34453
Phone (352) 344-2273

8119 SW Highway 200
Ocala, FL 34481
Phone (352) 854-9355

514 W Noble Ave
Williston, FL 32696
Phone (352) 528-9355

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 7

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": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1053902858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2066",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344602066",
            "telephone_number": "352-563-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11371 N WILLIAMS ST STE 4",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344328362",
            "telephone_number": "352-465-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "ALTHEA",
        "middle_name": "JOANNE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11011355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110428000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@quickcaremed.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11371 N Williams St Ste 4",
            "city": "Dunnellon",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344328362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dunnellon, FL

Sources for this page

Verify at the official NPI Registry.