Tyrongilia Quereese Walton, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R871879 Issued in MS

Practice address

1450 Highway 6 E
Batesville, MS 38606-9213

Phone

(662) 561-7671

Fax

(662) 510-0192

NPI assigned

Jul 9, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IABFAA

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.

• Strategic Solutions-Panola Medical Center LLC

  • Rural Health Clinic/Center
  • Batesville, MS
  • NPI 1700349222
  Medicare reassignment NPD
• Urgent Care Clinic of Oxford

  • Family Medicine Physician
  • Oxford, MS
  • NPI 1043421357
  Medicare reassignment NPD
• Strategic Solutions-Panola Medical Center LLC

  • Rural Acute Care Hospital
  • Batesville, MS
  • NPI 1053873307
  NPD
• Strategic Solutions-Panola Medical Center LLC

  • Rural Health Clinic/Center
  • Batesville, MS
  • NPI 1366905028
  NPD

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1710242458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 HIGHWAY 6 E",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386069213",
            "telephone_number": "662-561-7671",
            "fax_number": "662-510-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 HIGHWAY 6 E",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386069213",
            "telephone_number": "662-561-7671",
            "fax_number": "662-510-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "TYRONGILIA",
        "middle_name": "QUEREESE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R871879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07630093",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "272046ZWX3",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East, LP
• Harold Keith Waldrip
• Walgreen Co
• Amy Kathleen Walker
• Landon Leigh Wallis, MS,CCC-SLP
• Alec Tristan Whalen, PMHNP
• Marianne Day Wharton, CFNP
• Elizabeth White
• Brittany Leigh Wiggins, FNP-BC
• Victoria Havens Wilbanks, FNP

• Family Nurse Practitioner in Batesville, MS
• Providers in Batesville, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.