Jeannine T Walters, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

DR.0049739 Issued in CO

Practice address

2000 Boise Ave
Loveland, CO 80538-5006

Phone

(970) 635-4071

Fax

(970) 635-4177

NPI assigned

Jun 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Jeannine T Walters Professional name

Medicare fee-for-service enrollment

Enrolled in ID, CO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

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 and National Provider Directory roles.

• Boulder Emergency Physicians PC

  • Emergency Medicine Physician
  • Boulder, CO
  • NPI 1659354637
  Medicare reassignment NPD
• Emergency Professionals of Colorado, PC

  • Emergency Medicine Physician
  • Loveland, CO
  • NPI 1396496469
  Medicare reassignment NPD
• Carepoint Health Emergency Medicine Idaho, PLLC

  • Emergency Medicine Physician
  • Caldwell, ID
  • NPI 1285275461
  Medicare reassignment NPD
• Boulder Emergency Physicians PC

  • Emergency Medicine Physician
  • Lafayette, CO
  • NPI 1407454317
  NPD
• Emergency Professionals of Colorado, PC

  • Emergency Medicine Physician
  • Greeley, CO
  • NPI 1366835415
  NPD
• Premier Emergency Physicians of Idaho Medical Group

  • Emergency Medicine Physician
  • Nampa, ID
  • NPI 1942259965
  NPD (past)
• Treasure Valley Emergency Physicians

  • Emergency Medicine Physician
  • Nampa, ID
  • NPI 1053360065
  NPD (past)
• Webster Emergency Physicians

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1851339998
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1699717629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173817",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802173817",
            "telephone_number": "303-306-7783",
            "fax_number": "303-306-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 BOISE AVE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805385006",
            "telephone_number": "970-635-4071",
            "fax_number": "970-635-4177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W Fort St",
            "address_2": "# 111",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837024501",
            "country_code": "US",
            "telephone_number": "208-422-1325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "JEANNINE",
        "middle_name": "T",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ID",
            "license": "O271",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR.0049739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83809261",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNINE",
            "last_name": "WALTERS",
            "middle_name": "T",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Walmart Inc. (Walmart Pharmacy 10-0953)
• Walmart Inc. (Walmart Pharmacy 10-1008)
• Walmart Inc. (Walmart Vision Center 30-1008)
• Kathleen Walsh, RN, BSN
• Rosemary Walsh, OTR
• Tyler Scott Walthall, PHARM.D., BS
• Michael J. Walts, M.D.
• Nichole R Ward
• Rebecca Ann Waring, PA-C
• Rachel Christine Warns, DMD

• Emergency Medicine Physician in Loveland, CO
• Providers in Loveland, CO by specialty
• Emergency Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.