Active NPI
Deannette Jean Waltman, RN
- Registered Nurse
National Provider Identifier
1689730178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN537091
- Practice address
- Stuttgart Health Clinic
Patch Barracks Unit 30401
Apo, AE 09107
DE - Phone
- 497116808610
- Fax
- 497116808619
- NPI assigned
- Dec 29, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN537091 | PA | Primary |
Addresses
Primary practice location
Stuttgart Health Clinic
Patch Barracks Unit 30401
Apo, AE 09107
DE
Mailing address
Attn Credentials Office
CMR 442
Apo, AE 09042
DE
Phone 496221172274
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN537091 | Other | PA | NURSING LICENSE |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN537091 | PA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darmstadt Health Clinic | Past | Accepting new patients | |
| US Army | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- NPI 1437134822
-
- Military General Acute Care Hospital
- NPI 1669456588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689730178",
"addresses": [
{
"country_code": "DE",
"country_name": "Germany",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "ATTN CREDENTIALS OFFICE",
"address_2": "CMR 442",
"city": "APO",
"state": "AE",
"postal_code": "09042",
"telephone_number": "496221172274",
"fax_number": "496221172941"
},
{
"country_code": "DE",
"country_name": "Germany",
"address_purpose": "LOCATION",
"address_type": "FGN",
"address_1": "STUTTGART HEALTH CLINIC",
"address_2": "PATCH BARRACKS UNIT 30401",
"city": "APO",
"state": "AE",
"postal_code": "09107",
"telephone_number": "497116808610",
"fax_number": "497116808619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTMAN",
"first_name": "DEANNETTE",
"middle_name": "JEAN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN537091",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSING LICENSE",
"identifier": "RN537091",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.