Individual provider Active NPI

Laura Michelle Walton, DPM

  • Foot & Ankle Surgery Podiatrist
  • Daytona Beach, FL
National Provider Identifier
1083901995
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
3653 Issued in FL
Practice address
1890 Lpga Blvd Suite 230
Daytona Beach, FL 32117
Phone
(386) 274-3336
NPI assigned
Jun 30, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 3653 FL Primary

Addresses

Primary practice location

1890 Lpga Blvd Suite 230
Daytona Beach, FL 32117

Mailing address

2545 South Atlantic Ave Unit 2101
Daytona Beach Shores, FL 32218
Phone (904) 294-1885

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140611001901 FL Practitioner - Podiatry 7719101831 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Florida Foot and Ankle Group PAGroup PAC ID 3476575994, 6 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

925 Williston Park PT
Suite 1009
Lake Mary, FL 32746-2114
Phone (407) 323-2566

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue12
Removal of skin lesions1-10
Removal of nail tissue52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3653FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC Foot & Ankle Surgery CurrentSince Feb 15, 2021 Accepting new patients
Florida Foot & Ankle Group PA Foot & Ankle Surgery CurrentSince Jan 6, 2025 Accepting new patients
Atlantic Podiatry Associates DPM PA Foot & Ankle Surgery CurrentSince Jul 1, 2014 Accepting new patients
Florida Foot & Ankle Group PA Foot & Ankle Surgery CurrentSince Jan 6, 2025 Accepting new patients
Upperline Healthcare, PC Foot & Ankle Surgery CurrentSince Feb 15, 2021 Accepting new patients

Locations

522 S Hunt Club Blvd
Apopka, FL 32703
Phone (407) 435-0186

1890 Lpga Blvd
Ste 230
Daytona Beach, FL 32117
Phone (386) 274-3336

75 Fox Ridge Ct
Ste H
Debary, FL 32713
Phone (386) 668-2663

819 E Oak St
Ste B
Kissimmee, FL 34744
Phone (407) 846-1234

925 Williston Park Pt
Ste 1009
Lake Mary, FL 32746
Phone (407) 323-2566

975 Town Center Dr
Ste 200
Orange City, FL 32763
Phone (386) 465-4104

21 Hospital Dr
Ste 170
Palm Coast, FL 32164
Phone (386) 586-2280

102 Woodmont Blvd
Ste 450
Nashville, TN 37205

Organizations & group practices 5

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": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404345600000",
    "number": "1083901995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 SOUTH ATLANTIC AVE UNIT 2101",
            "city": "DAYTONA BEACH SHORES",
            "state": "FL",
            "postal_code": "32218",
            "telephone_number": "904-294-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 LPGA BLVD SUITE 230",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "32117",
            "telephone_number": "386-274-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "LAURA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2014-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "3653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.