Natasha Waloven, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F347563-01 Issued in NY

Practice address

101 W Utica St Ste a
Oswego, NY 13126-3167

Phone

(315) 216-4871

Fax

(888) 827-9682

NPI assigned

Apr 14, 2021

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

Other names 1

• Natahsa Visco Professional name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Endocrine Associate of Oswego PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Oswego, NY
  • NPI 1154693067
  Medicare reassignment NPD

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1225618168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W UTICA ST STE A",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131263167",
            "telephone_number": "315-532-5053",
            "fax_number": "888-827-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W UTICA ST STE A",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131263167",
            "telephone_number": "315-216-4871",
            "fax_number": "888-827-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALOVEN",
        "first_name": "NATASHA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F347563-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATAHSA",
            "last_name": "VISCO",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Doreen Judy Wall
• Ann Elizabeth Wallace
• Jamie Wallace, NP
• Karacin Wallace
• Lynne M Wallace, RN
• Katharine Walser, PMHNP
• Chelsea Christina Walters, COTA/L
• Amy Walts
• Jessica Ariel Wanke, OTA
• Warner Physical Therapy PC

• Family Nurse Practitioner in Oswego, NY
• Providers in Oswego, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.