Brandy Lynn Walters, LC, BBA

Primary specialty

SpecialistTaxonomy code 174400000X

License

108-73235 Issued in VA

Practice address

10911 Cedar Post LN
Spotsylvania, VA 22553-1627

Phone

(540) 805-0041

NPI assigned

Oct 4, 2009

Last updated

Oct 4, 2009By 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

Credentials

Bachelor of Business Administration

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• In Home Lactation Specialists LLC

  • Lactation Consultant (Non-RN)
  • Troy, MI
  • NPI 1730069964
  NPD Authorized official

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

{
    "created_epoch": "1254614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254614400000",
    "number": "1164757589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10911 CEDAR POST LN",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225531627",
            "telephone_number": "540-805-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10911 CEDAR POST LN",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225531627",
            "telephone_number": "540-805-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "BRANDY",
        "middle_name": "LYNN",
        "credential": "LC, BBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-04",
        "last_updated": "2009-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "108-73235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payal Verma, DMD
• Virginia CVS Pharmacy LLC (CVS Pharmacy #03397)
• Vitality Home Health Services
• Ashley Volk, BCABA
• Hillary C Wakefield, LCSW
• Marvin Washington
• Michelle Nakee Westfall, MT-BC
• Ebony Whalen
• Penny Whetzler
• Vicky Lynne Wilder, NCC

• Specialist in Spotsylvania, VA
• Providers in Spotsylvania, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2009; 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.