Connie Leann Walton, RN, LMT

Primary specialty

Nurse Massage Therapist (NMT)Taxonomy code 163WM1400X

License

R0114751 Issued in OK

Practice address

1414 Arlington St Ste 2200
Ada, OK 74820-2694

Phone

(580) 399-3594

NPI assigned

Dec 28, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1366211591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20379 COUNTY ROAD 1590",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748200443",
            "telephone_number": "580-399-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 ARLINGTON ST STE 2200",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202694",
            "telephone_number": "580-399-3594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "CONNIE",
        "middle_name": "LEANN",
        "credential": "RN, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "OK",
            "license": "R0114751",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "OK",
            "license": "R0114751",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": "197627",
            "primary": false
        },
        {
            "code": "163WM1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "OK",
            "license": "R0114751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kandice Wallis
• Makenzi Ann Walls
• Karen Ruth Walters, RN
• Shelly D Walters, MD
• Jonathan Paul Walther, MD
• Larson Dean Walton, BA,AA,AA,AA,AA,AA,AA
• Tarra Ward
• Paul Franklin Warlick, D.O.
• Kristen Warnock, D.O.
• Clay Warren

• Nurse Massage Therapist (NMT) in Ada, OK
• Providers in Ada, OK by specialty
• Nurse Massage Therapist (NMT) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.

Verify at the official NPI Registry.