Thomas E Walls

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN192472 Issued in AZ

Practice address

3075 N Windsong Dr Ste a
Prescott Valley, AZ 86314

Phone

(928) 350-8780

Fax

(888) 674-1228

NPI assigned

Nov 28, 2016

Last updated

Jun 27, 2018By the provider in NPPES

Sex

Male

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)

Enrolled

Credentials

Nurse Practitioner

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.

• Prescott Quick Care LLC

  dba Family First Convenient Care

  • Primary Care Clinic/Center
  • Prescott Valley, AZ
  • NPI 1447769278
  Authorized official Same address or phone
• Carelock, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mayer, AZ
  • NPI 1972170322
  NPD (past)
• Northern Arizona Healthcare Solutions P.C.

  • Family Nurse Practitioner
  • Chino Valley, AZ
  • NPI 1457794414
  NPD (past)

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1245773084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 N WINDSONG DR STE A",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141208",
            "telephone_number": "928-350-8780",
            "fax_number": "888-674-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 N WINDSONG DR STE A",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "86314",
            "telephone_number": "928-350-8780",
            "fax_number": "888-674-1228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 E Gurley St",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863013805",
            "country_code": "US",
            "telephone_number": "928-458-7583",
            "fax_number": "877-319-6131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLS",
        "first_name": "THOMAS",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-28",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN192472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Rene Walblay, M.ED.
• Walgreen Co (Walgreens #06666)
• Christopher Walker, RPH
• Kimberly S. Wallach, P.A.-C
• Debra Lee Wallett, PH.D
• Walmart Inc. (WalMart Pharmacy 10-3730)
• Lindsay Jean Ward, FNP-C
• Roy Ware, R.PH.
• Ryan Jacob Warinner, SPTA
• Robert Warman, D.C

• Family Nurse Practitioner in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.