Clayton Wall, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11049200 Issued in FL

Practice address

3534 Fruitville Rd FL 34237
Sarasota, FL 34237-9026

Phone

(941) 893-2688

NPI assigned

Jul 15, 2026

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Re3 Stem Cell and Healing Institute PLLC

  dba Center for Brain and Spine

  • Neurological Surgery Physician
  • Sarasota, FL
  • NPI 1407397540
  NPD (past)

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

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784419200000",
    "number": "1669392239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3534 FRUITVILLE RD FL 34237",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342379026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3534 FRUITVILLE RD FL 34237",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342379026",
            "telephone_number": "941-893-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "CLAYTON",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-07-19",
        "certification_date": "2026-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11049200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marla Rae Walker, M.S., CCC-SLP
• Michael D Walker, M.D.
• Stacy Louk Walker, LMHC, NCC
• Victoria Payton Walker
• Chanda Patricia Lynn Wall, O.D.
• Arlie N. Wallace, D.O.
• Carin Lynnae Wallace, FNP
• Cassandra Lee Wallace, PA-C
• Susan Wallach
• Katy Wallis, PHARMD

• Family Nurse Practitioner in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2026; 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.