Alvin Reed Walters, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95010726 Issued in CA

Practice address

155 Glasson Way
Grass Valley, CA 95945-5723

Phone

(530) 274-6000

NPI assigned

Feb 1, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1659836823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12358 ELIZABETH WAY",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959496517",
            "telephone_number": "425-478-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 GLASSON WAY",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455723",
            "telephone_number": "530-274-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "ALVIN",
        "middle_name": "REED",
        "name_prefix": "Dr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95010726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP BOARD CERTIFICATION NUMBER",
            "identifier": "F01191203",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE/ FURNISHING NUMBER",
            "identifier": "95010726",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blake Brandon Walker
• Sarah Walker
• Savannah M Walker
• Donald Walsh
• Walter Lawrence Abbey
• Evan Ariel Walters
• Kimberly Walters
• Lael A Walz
• Jackson Wang, MD
• Gem B Ward

• Nurse Practitioner in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; 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.