Heather Jeanine Walden, ACUPUNCTURE PHYS

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

4151 Issued in FL

Practice address

2500 S Kanner Hwy Ste 3
Stuart, FL 34994-4600

Phone

(641) 233-8919

NPI assigned

Jun 9, 2021

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

Practice roles

Locations

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.

• Urban Plantations, LLC

  • Acupuncturist
  • Stuart, FL
  • NPI 1013678242
  NPD Authorized official

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1114594074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 S KANNER HWY STE 3",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944600",
            "telephone_number": "641-233-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S KANNER HWY STE 3",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944600",
            "telephone_number": "641-233-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDEN",
        "first_name": "HEATHER",
        "middle_name": "JEANINE",
        "credential": "ACUPUNCTURE PHYS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "4151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janine Waisley
• Elyssa Waite-Ulett
• Ebonie Waithe
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Kaitlyn Gabrielle Walden
• Tricia Walden, BCBA
• Walgreen Co
• Walgreen Co
• Walgreen Co

• Acupuncturist in Stuart, FL
• Providers in Stuart, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.