Ursula F Waller

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

1540540 Issued in GA

Practice address

128 Marshall Rd
Buckhead, GA 30625-2906

Phone

(706) 473-6192

Fax

(706) 485-9254

NPI assigned

Jun 4, 2014

Last updated

May 27, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anesthesia Services of North Georgia LLC

  • Certified Registered Nurse Anesthetist
  • Gainesville, GA
  • NPI 1386216604

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Coastal Ambulatory Anesthesia LLC

  • Anesthesiology Physician
  • Savannah, GA
  • NPI 1750753786
  Medicare reassignment NPD
• Concordia Anesthesiology, Inc

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1619296464
  Medicare reassignment NPD
• Gi Anesthesia of Georgia LLC

  • Certified Registered Nurse Anesthetist
  • Gainesville, GA
  • NPI 1326569187

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Mulkey Anesthesiology Associates LLC

  • Anesthesiology Physician
  • Austell, GA
  • NPI 1417288069
  Medicare reassignment NPD
• Lucent Integrative Wellness

  • Health Service Clinic/Center
  • Eatonton, GA
  • NPI 1104643782
  NPD Authorized official
• Interventional Spine and Pain Management Ambulatory Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Conyers, GA
  • NPI 1750420147
  NPD
• Highlands Anesthesia LLC

  dba Highlands Anesthesia

  • Anesthesiology Physician
  • Sebring, FL
  • NPI 1386117331
  NPD (past)

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1679986988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 MARSHALL RD",
            "city": "BUCKHEAD",
            "state": "GA",
            "postal_code": "306252906",
            "telephone_number": "706-473-6192",
            "fax_number": "706-485-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MARSHALL RD",
            "city": "BUCKHEAD",
            "state": "GA",
            "postal_code": "306252906",
            "telephone_number": "706-473-6192",
            "fax_number": "706-485-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLER",
        "first_name": "URSULA",
        "middle_name": "F",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "1540540",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9299664",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "COA.17161-NA",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Baldwin, LCSW, DSW
• Beverly M. Bentley, L.P.C., N.C.C.
• Alyssa Anne Gainer, BSN, RN
• Carla Jarman
• Oconee House Senior Living

• Certified Registered Nurse Anesthetist in Buckhead, GA
• Providers in Buckhead, GA by specialty
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.