Veronica Jeanne Walters, APRN BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP61001571 Issued in WA

Practice address

4225 Hoyt Ave Ste D
Everett, WA 98203-2351

Phone

(425) 317-8025

Fax

(425) 317-9516

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC, TX, NJ3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tulalip Tribes of WashingtonGroup PAC ID 7719879782, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: veronica.walters.1@11915.direct.athenahealth.com

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.

• Tulalip Tribes of Washington

  • General Practice Physician
  • Tulalip, WA
  • NPI 1770531501

  TX

  Medicare reassignment Care Compare group NPD
• Carolina Family Care, Inc

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1184655722
  Medicare reassignment NPD
• Carolina Family Care, Inc

  • Internal Medicine Physician
  • North Charleston, SC
  • NPI 1649533662
  Medicare reassignment NPD
• Ocean Health Initiatives Inc

  • Federally Qualified Health Center (FQHC)
  • Lakewood, NJ
  • NPI 1043306574
  Medicare reassignment NPD
• Tulalip Tribes of Washington

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Tulalip, WA
  • NPI 1063502946
  NPD
• Tulalip Tribes of Washington

  • Optometrist
  • Tulalip, WA
  • NPI 1831946797
  NPD
• Western Washington Medical Group, Inc PS

  • Family Medicine Physician
  • Arlington, WA
  • NPI 1134460959
  NPD
• Western Washington Medical Group, Inc PS

  • Psychiatry Physician
  • Everett, WA
  • NPI 1396413803
  NPD
• Western Washington Medical Group, Inc PS

  • Infectious Disease Physician
  • Everett, WA
  • NPI 1427816305
  NPD
• Carolina Family Care Inc

  • Family Medicine Physician
  • North Charleston, SC
  • NPI 1194152272
  NPD
• Carolina Family Care, Inc

  • Pediatrics Physician
  • Charleston, SC
  • NPI 1003846783
  NPD
• Ocean Health Initiatives, Inc

  • Federally Qualified Health Center (FQHC)
  • Toms River, NJ
  • NPI 1417938044
  NPD

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1114019247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W MARINE VIEW DR # S313",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982011661",
            "telephone_number": "419-575-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 HOYT AVE STE D",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032351",
            "telephone_number": "425-317-8025",
            "fax_number": "425-317-9516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7520 Totem Beach Rd",
            "address_purpose": "LOCATION",
            "city": "Tulalip",
            "state": "WA",
            "postal_code": "982716160",
            "country_code": "US",
            "telephone_number": "360-716-4511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12728 19th Ave SE Ste 300",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982086676",
            "country_code": "US",
            "telephone_number": "425-317-8025",
            "fax_number": "425-317-9516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 2nd St",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087013324",
            "country_code": "US",
            "telephone_number": "732-363-6655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "VERONICA",
        "middle_name": "JEANNE",
        "name_prefix": "Ms.",
        "credential": "APRN  BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "18229",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61001571",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01470900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2753337",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eilee C Walsh, MSPT
• Jacob Walsh
• Bailey Marie Walters, MA, LMHCA
• Ethan Walters
• Nancy Elizabeth Walters, LICSW
• Ginny Waltner, CDPT
• Shriona Walton
• Jasmine Waltz Bauer
• Hayley Michelle Avgeres Waltz, MS, LMHCA, LBA
• Robert J Wamukoya, DNP

• Family Nurse Practitioner in Everett, WA
• Providers in Everett, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.