Justine Waller

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

1620136 Issued in CO

Practice address

7765 Florado St
Denver, CO 80221-4269

Phone

(360) 909-2471

NPI assigned

Jan 7, 2025

Last updated

Jan 7, 2025By the provider in NPPES

Sex

Female

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

State licenses

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1093525677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7765 FLORADO ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802214269",
            "telephone_number": "360-909-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7765 FLORADO ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802214269",
            "telephone_number": "360-909-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLER",
        "first_name": "JUSTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "CO",
            "license": "1620136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Blake Wallace, MD
• Wallach Womens Wellness (Women First Health & Wellness)
• Emily Nicole Wallbank
• Diamond Waller Christopher
• Jonathan Waller
• Christina Walley
• Elizabeth Taylor Walley, PT, DPT, OCS, CSCS
• Kristi Wallin, OTR/L
• Matthew P Wallington, LPC
• Farrah R Wallis, RDH

• Emergency Registered Nurse in Denver, CO
• Providers in Denver, CO by specialty
• Emergency Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.