Individual provider Active NPI

Jennifer Walton, M.D.

  • Developmental - Behavioral Pediatrics Physician
  • Miami, FL
National Provider Identifier
1396921706
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
ME163302 Issued in FL
Practice address
1601 NW 12TH Ave Ste 4057
Miami, FL 33136-1005
Phone
(305) 243-6831
NPI assigned
Jan 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics Physician 2080P0006X ME163302 FL Primary

Addresses

Primary practice location

1601 NW 12TH Ave Ste 4057
Miami, FL 33136-1005

Mailing address

1601 NW 12TH Ave Ste 4057
Miami, FL 33136-1005
Phone (305) 243-6831

Other practice location 1

1611 NW 12th Ave
Miami, FL 33136-1005
Phone (305) 243-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230802000468 FL Practitioner - Pediatric Medicine 8325295512 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Developmental - Behavioral Pediatrics CurrentSince Jul 1, 2023 Accepting new patients
University of Miami Current Accepting new patients
University of Miami CurrentSince Jul 1, 2023 Accepting new patients
University of Miami Developmental - Behavioral Pediatrics PastSince Jul 1, 2023 Accepting new patients

Locations

1601 NW 12th Ave
Ste 4057
Miami, FL 33136
Phone (305) 243-6831

1601 NW 12th Ave
Ste 2047
Miami, FL 33136
Phone (301) 807-1669

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1601 NW 12th Ave
Fl 2
Miami, FL 33136
Phone (305) 243-6857

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

Interoperability endpoints

  • Direct secure messaging: jwalton125575@direct.med.miami.edu

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1396921706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 NW 12TH AVE STE 4057",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-243-6831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 NW 12TH AVE STE 4057",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-243-6831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 NW 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361005",
            "country_code": "US",
            "telephone_number": "305-243-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTON",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-15",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "FL",
            "license": "ME163302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.