Emma Walthall-Moon

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

529 Courtlandt Avenue
Bronx, NY 10451

Phone

(718) 402-2311

NPI assigned

Jan 9, 2019

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1205309523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ADAMS PL",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106032901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 COURTLANDT AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10451",
            "telephone_number": "718-402-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTHALL-MOON",
        "first_name": "EMMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa D Walters
• Shauna T Walters, MD
• Shenelle Nalisa Walters, LMSW
• Yvonne Walters, RN
• Zulma F. Walters, RN
• Gayle Walthall
• Pamela Walthall
• Amelia Waltman, MD
• Taylor Heather Kim Walton
• Jondean Renee Walwyn, LMSW

• Community Health Worker in Bronx, NY
• Providers in Bronx, NY by specialty
• Community Health Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.