Individual provider Active NPI

Donna Walters, LPN

  • Licensed Practical Nurse
  • Barberton, OH
National Provider Identifier
1366747792
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN133273 Issued in OH
Practice address
209 W Way St
Barberton, OH 44203-1561
Phone
(330) 937-8201
NPI assigned
Jan 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 133273 OH
Licensed Practical Nurse 164W00000X PN133273 OH Primary

Addresses

Primary practice location

209 W Way St
Barberton, OH 44203-1561

Mailing address

209 W Way St
Barberton, OH 44203-1561
Phone (330) 937-8201

Other practice location 1

91 Hawk Rdg
Rittman, OH 44270-1820
Phone (330) 419-9583

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
133273OHMDLicensed Practical Nurse
PN133273OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1295049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1366747792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W WAY ST",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442031561",
            "telephone_number": "330-937-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W WAY ST",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442031561",
            "telephone_number": "330-937-8201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "91 Hawk Rdg",
            "address_purpose": "LOCATION",
            "city": "Rittman",
            "state": "OH",
            "postal_code": "442701820",
            "country_code": "US",
            "telephone_number": "330-419-9583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "DONNA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "133273",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN133273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barberton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.