Walters Itie

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

1445 Howard Rd SE
Washington, DC 20020-4406

Phone

(202) 352-2914

NPI assigned

Jul 10, 2023

Last updated

Jul 10, 2023By the provider in NPPES

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

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1073291183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 COLLINGTONS BOUNTY DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207205627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 HOWARD RD SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200204406",
            "telephone_number": "202-352-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITIE",
        "first_name": "WALTERS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fnu Ita Meyeh Ndzewiyi
• Charles Success Ita
• Henry Esapa Ita
• Alaba Christopher Itamakinde
• Linda Itambi
• Seiji Ito, M.D.
• Eric Etongwe Itoe
• Christopher Itua, MD
• Urla Blanca Ivaha Idjongoled
• Ivan L Robinson and Associates

• Community/Behavioral Health Agency in Washington, DC
• Providers in Washington, DC by specialty
• Community/Behavioral Health Agency in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.