Active NPI
Sandra Walters
- Family Nurse Practitioner
- Huntington, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3014369
- Practice address
- 1340 Hal Greer Blvd
Huntington, WV 25701-3804 - Phone
- (304) 399-6727
- Fax
- (304) 399-1507
- NPI assigned
- Feb 19, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3014369 | KY | Primary |
Addresses
Primary practice location
1340 Hal Greer Blvd
Huntington, WV 25701-3804
Mailing address
1340 Hal Greer Blvd
Huntington, WV 25701-3804
Phone (304) 399-6727
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0392078 | Medicaid | OH | |
| 1689207516 | Medicaid | WV | |
| 7100652340 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sandra.walters@direct.chhi.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospice of Huntington, Inc.
Practice addresses (Care Compare)
1101 6TH Ave
Huntington, WV 25701-2345
Phone (304) 529-4217
48 Private Dr
Suite 339
South Point, OH 45680-8919
Phone (304) 894-0013
Hospital & facility affiliations
- Cabell Huntington Hospital, Inc
- Rivers Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3014369 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospice of Huntington, Inc | Current | Accepting new patients | |
| Cabell Huntington Hospital Inc | Current | Accepting new patients | |
| Cabell Huntington Hospital Inc | Current | Accepting new patients | |
| Hospice of Huntington, Inc | Current | Accepting new patients | |
| Cabell Huntington Hospital Inc | Family | Current | Accepting new patients |
Locations
48 Private Drive 339
South Point, OH 45680
Phone (304) 894-0013
1340 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-2960
1101 6th Ave
Huntington, WV 25701
Phone (304) 522-2928
8 Stonecrest Dr
Huntington, WV 25701
Phone (304) 399-0225
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Huntington, WV
- NPI 1275576373
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Huntington, WV
- NPI 1972018646
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- South Point, OH
- NPI 1740789080
-
- Home Health Agency
- Huntington, WV
- NPI 1669558904
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Huntington, WV
- NPI 1073518007
-
- General Acute Care Hospital
- PT Pleasant, WV
- NPI 1598975120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618272000000",
"number": "1689207516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 HAL GREER BLVD",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257013804",
"telephone_number": "304-399-6727",
"fax_number": "304-399-6726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 HAL GREER BLVD",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257013804",
"telephone_number": "304-399-6727",
"fax_number": "304-399-1507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTERS",
"first_name": "SANDRA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-19",
"last_updated": "2021-04-13",
"certification_date": "2021-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3014369",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0392078",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1689207516",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100652340",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sandra.walters@direct.chhi.org",
"affiliation": "N",
"address_1": "1340 Hal Greer Blvd",
"city": "Huntington",
"state": "WV",
"country_code": "US",
"postal_code": "257013804",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.