Active NPI
Lynette A Walter, PA-C
- Medical Physician Assistant
- Roaring Spring, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA001452L
- Practice address
- 111 Nason Dr
Roaring Spring, PA 16673-1212 - Phone
- (814) 224-5132
- Fax
- (814) 224-2906
- NPI assigned
- Aug 31, 2005
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA001452L | PA | Primary |
Addresses
Primary practice location
111 Nason Dr
Roaring Spring, PA 16673-1212
Mailing address
111 Nason Dr
Roaring Spring, PA 16673-1212
Phone (814) 224-5132
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA001452L | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc Altoona | Current | Accepting new patients | |
| Upmc Community Medcine Inc | Current | Accepting new patients | |
| Upmc Bedford Memorial | Current | Accepting new patients | |
| Upmc Altoona Regional Health Services, Inc | Current | Accepting new patients | |
| Upmc Community Medicine Inc | Current | Accepting new patients | |
| Upmc Bedford Memorial | Current | Accepting new patients | |
| Upmc Altoona | Current | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
2500 7th Ave
Altoona, PA 16602
Phone (814) 944-1681
501 Howard Ave
Ste F2
Altoona, PA 16601
Phone (814) 889-2020
1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621
249 Hospital Dr
Everett, PA 15537
Phone (814) 623-1166
10455 Lincoln Hwy
Everett, PA 15537
Phone (814) 623-3550
875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622
Interoperability endpoints
- lynette.a.walter@upmcdirect.com
Organizations & group practices 8
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.
-
- Ambulatory Surgical Clinic/Center
- Altoona, PA
- NPI 1114926953
-
- General Acute Care Hospital
- Altoona, PA
- NPI 1487604179
-
- Family Medicine Physician
- Altoona, PA
- NPI 1396724217
-
- Emergency Medicine Physician
- Everett, PA
- NPI 1184772113
-
- Ambulatory Surgical Clinic/Center
- Everett, PA
- NPI 1942345467
-
- Family Medicine Physician
- Hermitage, PA
- NPI 1023806676
-
- Orthopaedic Surgery Physician
- Everett, PA
- NPI 1568599272
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258416000000",
"number": "1528052958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 NASON DR",
"city": "ROARING SPRING",
"state": "PA",
"postal_code": "166731212",
"telephone_number": "814-224-5132",
"fax_number": "814-224-2906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 NASON DR",
"city": "ROARING SPRING",
"state": "PA",
"postal_code": "166731212",
"telephone_number": "814-224-5132",
"fax_number": "814-224-2906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTER",
"first_name": "LYNETTE",
"middle_name": "A",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-31",
"last_updated": "2009-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA001452L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roaring Spring, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.