Beverly Claire Walters, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

08537 Issued in RI

Practice address

128 N Main St
Providence, RI 02903-1322

Phone

(401) 351-1369

Fax

(401) 251-0079

NPI assigned

Oct 25, 2006

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

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174607295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029031322",
            "telephone_number": "401-351-1369",
            "fax_number": "401-251-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029031322",
            "telephone_number": "401-351-1369",
            "fax_number": "401-251-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "BEVERLY",
        "middle_name": "CLAIRE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "RI",
            "license": "08537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn E Walsh, MS, CCC, SLP
• Marissa Ann Walsh, LMHC
• Maureen Ann Walsh, MHC
• Susan L Walsh, RN
• Gabriel Walt, MD
• Kyle Walters
• Sherry E Walters, RNP
• Michael Walther
• Mary R Walton, PA
• Angela Wang, DO

• Neurological Surgery Physician in Providence, RI
• Providers in Providence, RI by specialty
• Neurological Surgery Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.