Chantel Walters

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

2950 SW Boxwood Cir
Port St Lucie, FL 34953-6967

Phone

(772) 985-1261

NPI assigned

Jul 25, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• C Gentle Care Agency

  • Home Health Agency
  • Port St Lucie, FL
  • NPI 1417596610
  NPD Authorized official
• C Gentle Services

  • Clinical Medical Laboratory
  • Port Saint Lucie, FL
  • NPI 1487429361
  NPD Authorized official

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1427535285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 SW BOXWOOD CIR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349536967",
            "telephone_number": "772-985-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 SW BOXWOOD CIR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349536967",
            "telephone_number": "772-985-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "CHANTEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "721672",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brieanna Wallace
• Walmart Pharmacy
• Angelique M Walsh, MA
• McKinsey Beaman Walter
• Sharon Walter, CRNA
• Melissa Lynn Wamble, BCBA
• Geily Joanna Ward, PHARMD
• Kerri E Ward, D.C.
• Monica E Ward
• Jeremy S Ware, MMS,PA-C

• Community Health Worker in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Community Health Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.