Active NPI
Mary Walton, WHNP-BC
- Women's Health Nurse Practitioner
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 1058053
- Practice address
- 5200 Harry Hines Blvd
Dallas, TX 75235-7709 - Phone
- (214) 590-8000
- NPI assigned
- Feb 15, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 1058053 | TX | Primary |
| Women's Health Nurse Practitioner | 363LW0102X | 95008617 | CA |
Addresses
Primary practice location
5200 Harry Hines Blvd
Dallas, TX 75235-7709
Mailing address
1206 Panhandle St
Denton, TX 76201-2747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.1 of 100
- Quality
- 88.97
- Promoting interoperability
- 79
- Improvement activities
- 40
- Cost
- 83.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95008617 | CA | MD | Women's Health Nurse Practitioner |
| 1058053 | TX | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood Pasadena and San Gabriel Valley Inc | Current | Accepting new patients | |
| Planned Parenthood Pasadena and San Gabriel Valley Inc | Current | Accepting new patients | |
| Peach State Medical Practice, PC | Past | Accepting new patients | |
| Peach State Medical Practice, PC | Past | Accepting new patients |
Locations
2333 Lake Ave
Fl 2
Altadena, CA 91001
Phone (626) 794-5737
130 W Route 66
Ste 100
Glendora, CA 91740
Phone (626) 644-7926
5903 N Figueroa St
Los Angeles, CA 90042
Phone (626) 798-0706
620 N Lake Ave
Pasadena, CA 91101
Phone (626) 793-7350
1045 N Lake Ave
Pasadena, CA 91104
Phone (626) 794-5737
Interoperability endpoints
- mwalton323215@direct.phhs.org
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.
-
- Community Health Clinic/Center
- Pasadena, CA
- NPI 1073669040
-
- Community Health Clinic/Center
- Highland Park, CA
- NPI 1407406630
-
- Ambulatory Fertility Facility
- Austin, TX
- NPI 1083295638
-
- Reproductive Endocrinology Physician
- North Bethesda, MD
- NPI 1962116806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684454400000",
"number": "1548760606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1206 PANHANDLE ST",
"city": "DENTON",
"state": "TX",
"postal_code": "762012747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 HARRY HINES BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357709",
"telephone_number": "214-590-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTON",
"first_name": "MARY",
"credential": "WHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-15",
"last_updated": "2023-05-19",
"certification_date": "2023-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TX",
"license": "1058053",
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CA",
"license": "95008617",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.