Apple Walton, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

904462 Issued in MS

Practice address

1056 E Raines Rd
Memphis, TN 38116-6337

Phone

(901) 300-5777

Fax

(901) 422-6092

NPI assigned

Mar 2, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS, TN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Dedicated Physicians Group of Tennessee, PLLC

  dba Dedicated Senior Medical Center

  • Non-Pharmacy Dispensing Site
  • Miami, FL
  • NPI 1174144695

  TN

  Medicare reassignment NPD

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1700471612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 E RAINES RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381166337",
            "telephone_number": "901-300-5777",
            "fax_number": "901-422-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 E RAINES RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381166337",
            "telephone_number": "901-300-5777",
            "fax_number": "901-422-6092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1265 Union Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381043415",
            "country_code": "US",
            "telephone_number": "901-478-7355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTON",
        "first_name": "APPLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009727025",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cyrilyn Amarie Walters, M.D.
• Lisa Anne Walters, FNP
• Marvin Walters, M.A.
• Ray Walther, MD
• Adrienne N Walton
• Brianna Lynn Walton, PA
• Carla Marie Walton
• Gina Fleming Walton, M.D.
• Jarvis D Walton, M.D.
• Joseph Nathan Walton, PTA

• Family Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.