Organization Active NPI

Walden Direct Primary Care

  • General Practice Physician
  • Ocala, FL
National Provider Identifier
1134719057
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
WALDEN DIRECT PRIMARY CARE
Practice address
111 SW 8TH St
Ocala, FL 34471-0951
Phone
(352) 619-0029
Fax
(352) 415-3042
NPI assigned
Jan 25, 2021
Last updated
Jan 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Authorized official

Name
Melissa SteedNPI 1881809960
Title
Office Administrator
Phone
(352) 619-0029

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

111 SW 8TH St
Ocala, FL 34471-0951

Mailing address

111 SW 8TH St
Ocala, FL 34471-0951
Phone (352) 619-0029

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2142480Walden Direct Primary Care111 SW 8TH St, Ocala, FL 34471Certificate of waiverJan 10, 2028

National Provider Directory

National Provider Directory

Locations

111 SW 8th St
Ocala, FL 34471
Phone (352) 619-0029

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1134719057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SW 8TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710951",
            "telephone_number": "352-619-0029",
            "fax_number": "352-415-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SW 8TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710951",
            "telephone_number": "352-619-0029",
            "fax_number": "352-415-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALDEN DIRECT PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "STEED",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "352-619-0029"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.