Individual provider Active NPI

Lynette A Walter, PA-C

  • Medical Physician Assistant
  • Roaring Spring, PA
National Provider Identifier
1528052958
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA001452L Issued in PA
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

Updated by the provider on Nov 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA001452LPAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Altoona CurrentSince Sep 1, 2018 Accepting new patients
Upmc Community Medcine Inc CurrentSince May 4, 2016 Accepting new patients
Upmc Bedford Memorial CurrentSince Mar 14, 2016 Accepting new patients
Upmc Altoona Regional Health Services, Inc CurrentSince Nov 1, 2018 Accepting new patients
Upmc Community Medicine Inc CurrentSince May 4, 2016 Accepting new patients
Upmc Bedford Memorial CurrentSince Mar 14, 2016 Accepting new patients
Upmc Altoona CurrentSince Sep 1, 2018 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.