Nancy J Walden, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

348161 Issued in CA

Practice address

Cal Poly State Health Center
1 Grand Ave Building 27
San Luis Obispo, CA 93407-0210

Phone

(805) 756-1211

Fax

(805) 756-5298

NPI assigned

Jun 26, 2007

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

Enrolled in CA

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

Specialty

Nurse Practitioner

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family and Industrial Medical Center IncGroup PAC ID 1759318256, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13850/brand/1/csg/1/fhir/r4
• Direct secure messaging: nancy.walden.1@13850.direct.athenahealth.com

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.

• Family & Industrial Medical Center, Inc.

  • Family Medicine Physician
  • San Luis Obispo, CA
  • NPI 1235262734
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Community Care

  • General Acute Care Hospital
  • San Luis Obispo, CA
  • NPI 1881760452
  Care Compare affiliation

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275739245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CAL POLY STATE HEALTH CENTER",
            "address_2": "1 GRAND AVE BUILDING 27",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934070210",
            "telephone_number": "805-756-1211",
            "fax_number": "805-756-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CAL POLY STATE HEALTH CENTER",
            "address_2": "1 GRAND AVE BUILDING 27",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934070210",
            "telephone_number": "805-756-1211",
            "fax_number": "805-756-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDEN",
        "first_name": "NANCY",
        "middle_name": "J",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "348161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cortney Paige Wagner, M.F.T.
• Rachael Mae Wahl, LVN
• Taylor Suzanne Wahl, PA-C
• Rose Charlotte Wakeland
• Anna Katrina Walden
• Justine E Waldram, L.M.
• James Kirk Waldsmith, DVM
• Caroline Arlene Wales, PHD-I, CHLC
• Christopher Walheim, MD
• Lydia Ann P Walker, RN

• Family Nurse Practitioner in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Family Nurse Practitioner in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.