Walton Medical Staffing, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

WALTON MEDICAL STAFFING, LLC

Practice address

1343 Rogero Rd
Suite 101
Jacksonville, FL 32211

Phone

(904) 329-2558

Fax

(904) 374-7083

NPI assigned

Jul 22, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Delvega Shantelle Walton

Title

C.E.O.

Phone

(904) 329-2558

Specialties & licenses 1

Addresses

Tax ID family

Walton Medical Staffin LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Walton Medical Staffin. LLC

  • Health Maintenance Organization
  • Tifton, GA
  • NPI 1245475805
  NPD tax ID

Locations

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1275763435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 ROGERO RD",
            "address_2": "SUITE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32211",
            "telephone_number": "904-329-2558",
            "fax_number": "904-374-7083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 ROGERO RD",
            "address_2": "SUITE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32211",
            "telephone_number": "904-329-2558",
            "fax_number": "904-374-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTON MEDICAL STAFFING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "DELVEGA",
        "authorized_official_middle_name": "SHANTELLE",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "904-329-2558",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynda Elizabeth Walters, CRNA
• Nicole Marie Walters, APRN
• Samantha Darlene Walters, PA-C
• Samuel Walters, D.O.
• Walton Brueske Counseling Group PA
• Alonna Danay Walton
• Delvega Shantelle Walton
• Felisa Walton, RN
• J'Wroyce Denard Walton, RBT
• Je'Laune Walton, PHARM.D., RPH

• In Home Supportive Care Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.