Active NPI
Heidi Mara Walter, M.D.
- Anesthesiology Physician
- Las Vegas, NV
National Provider Identifier
1245254028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 11600
- Practice address
- 1405 Chambolle CT
Las Vegas, NV 89144-1136 - Phone
- (702) 341-9465
- Fax
- (866) 804-7676
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 11600 | NV | Primary |
Addresses
Primary practice location
1405 Chambolle CT
Las Vegas, NV 89144-1136
Mailing address
1405 Chambolle CT
Las Vegas, NV 89144-1136
Phone (702) 341-9465
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08732787 | Medicaid | CO | |
| 11600 | Other | NV | NV STATE MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11600 | NV | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Denver Anesthesia PC | Anesthesiology | Past | Accepting new patients |
| Roswell Clinic Corp | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Denver, CO
- NPI 1992778724
-
- Family Medicine Physician
- Roswell, NM
- NPI 1649267618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1245254028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 CHAMBOLLE CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891441136",
"telephone_number": "702-341-9465",
"fax_number": "866-804-7676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 CHAMBOLLE CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891441136",
"telephone_number": "702-341-9465",
"fax_number": "866-804-7676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTER",
"first_name": "HEIDI",
"middle_name": "MARA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NV",
"license": "11600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08732787",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NV STATE MEDICAL LICENSE",
"identifier": "11600",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.