Dianna Mildred Walls, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

UP005414B Issued in PA

Practice address

1627 W Chew St
Suite 101
Allentown, PA 18102-3648

Phone

(610) 969-4370

Fax

(610) 969-3445

NPI assigned

Nov 17, 2005

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Nurse Practitioner

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.

• Good Shepherd Rehabilitation Hospital

  dba Good Shepherd Physician Group

  • Physical Medicine & Rehabilitation Physician
  • Allentown, PA
  • NPI 1427035039
  NPD (past)

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450828800000",
    "number": "1063494813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 W CHEW ST",
            "address_2": "SUITE 101",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181023648",
            "telephone_number": "610-969-4370",
            "fax_number": "610-969-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLS",
        "first_name": "DIANNA",
        "middle_name": "MILDRED",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2015-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "UP005414B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Walker
• Treasure Ngozi Ada Walker, MD
• Brian Scott Wallace, M.D.
• Brandon Richard Wallick, DHSC
• Walls of Refuge Community Services LLC
• Judith B Walls, CRNP
• Alison Lynne Walsh, M.D.
• Allison Walsh, DPT
• Brandon M. Walsh, D.M.D.
• Joseph Byron Walsh III, DO

• Family Nurse Practitioner in Allentown, PA
• Providers in Allentown, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.