Active NPI
Dishanna Tomeka Walton
- Licensed Practical Nurse
- Euclid, OH
National Provider Identifier
1619127248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 117858
- Practice address
- 1770 Idlehurst Dr
Euclid, OH 44117-1848 - Phone
- (216) 554-2234
- NPI assigned
- Sep 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 117858 | OH | Primary |
Addresses
Primary practice location
1770 Idlehurst Dr
Euclid, OH 44117-1848
Mailing address
1770 Idlehurst Dr
Euclid, OH 44117-1848
Phone (216) 554-2234
Other names 1
- Dishanna Tomeka Walton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117858 | OH | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Extended Care &Services | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Prince Frederick, MD
- NPI 1083416721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221696000000",
"number": "1619127248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1770 IDLEHURST DR",
"city": "EUCLID",
"state": "OH",
"postal_code": "441171848",
"telephone_number": "216-554-2234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1770 IDLEHURST DR",
"city": "EUCLID",
"state": "OH",
"postal_code": "441171848",
"telephone_number": "216-554-2234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTON",
"first_name": "DISHANNA",
"middle_name": "TOMEKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-18",
"last_updated": "2008-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "117858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DISHANNA",
"last_name": "WALTON",
"middle_name": "TOMEKA",
"credential": "LPN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Euclid, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.