Lilian Walters, NP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

273589 Issued in CA

Practice address

715 Southpoint Blvd
Suite C
Petaluma, CA 94954-6835

Phone

(707) 778-6019

Fax

(707) 778-6068

NPI assigned

Oct 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1609055599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 SOUTHPOINT BLVD",
            "address_2": "SUITE C",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949546835",
            "telephone_number": "707-778-6019",
            "fax_number": "707-778-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 SOUTHPOINT BLVD",
            "address_2": "SUITE C",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949546835",
            "telephone_number": "707-778-6019",
            "fax_number": "707-778-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "LILIAN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CA",
            "license": "273589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mya Walker
• Kathleen M Wall
• Donald M Wallach, MFT
• Sarah Walsh
• Juli Walters
• Chenxin Wan, L.AC
• Sonja Marie Wanhala, LMFT
• Patricia Allyson Ward
• Sherie Lyn Warner, MFT
• Deanna Warren

• Obstetrics & Gynecology Nurse Practitioner in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Obstetrics & Gynecology Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.