Active NPI
Emily Walls, FNP-BC
- Family Nurse Practitioner
- Camarillo, CA
National Provider Identifier
1497001879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 21879
- Practice address
- 3801 Las Posas Rd
Suite 214
Camarillo, CA 93010-1426 - Phone
- (805) 437-0900
- NPI assigned
- Aug 3, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 21879 | CA | Primary |
Addresses
Primary practice location
3801 Las Posas Rd
Suite 214
Camarillo, CA 93010-1426
Mailing address
3801 Las Posas Rd
Suite 214
Camarillo, CA 93010-1426
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21879 | CA | MD | Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343952000000",
"number": "1497001879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 LAS POSAS RD",
"address_2": "SUITE 214",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930101426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 LAS POSAS RD",
"address_2": "SUITE 214",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930101426",
"telephone_number": "805-437-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLS",
"first_name": "EMILY",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-03",
"last_updated": "2012-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "21879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.