Beverly Inge Walti, RN, MSN, CPNP, CNS

Primary specialty

Neonatal Intensive Care Registered NurseTaxonomy code 163WN0002X

License

399342 Issued in CA

Practice address

455 S Main St
Orange, CA 92868-3835

Phone

(714) 289-4719

NPI assigned

May 25, 2007

Sex

Female

Sole proprietor

Yes

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

Certified Nurse Specialist, Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609087261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 SAN PATRICIO",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882509",
            "telephone_number": "949-459-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 S MAIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683835",
            "telephone_number": "714-289-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTI",
        "first_name": "BEVERLY",
        "middle_name": "INGE",
        "credential": "RN, MSN, CPNP, CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "CA",
            "license": "399342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walmart Inc.
• Walmart, Inc.
• Cynthia Crawford Walsh, M.S., CCC-SLP
• Timothy Ryan Walsh
• Sarah Walters
• Shun Yi Wan
• Caitlin Maria Wands
• Alex Jinwen Wang, MD
• Angelica Marina Wang
• Angie Wang

• Neonatal Intensive Care Registered Nurse in Orange, CA
• Providers in Orange, CA by specialty
• Neonatal Intensive Care Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.