Keisha Odeen Walters-Richards, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11019846 Issued in FL

Practice address

7205 SE Maricamp Rd
Ocala, FL 34472-2105

Phone

(352) 680-7000

NPI assigned

Jun 30, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

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.

• Project Health Inc

  • Federally Qualified Health Center (FQHC)
  • Sumterville, FL
  • NPI 1437180239
  Medicare reassignment NPD
• Project Health Inc

  • Federally Qualified Health Center (FQHC)
  • Ocala, FL
  • NPI 1942487186
  NPD
• Project Health Inc.

  • Private Vehicle
  • Sumterville, FL
  • NPI 1184122517
  NPD

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1740701556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 EAST 208TH STREET",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "44123",
            "telephone_number": "216-860-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 SE MARICAMP RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344722105",
            "telephone_number": "352-680-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS-RICHARDS",
        "first_name": "KEISHA",
        "middle_name": "ODEEN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "OH",
            "license": "386443",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11019846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth A Wallace III, MD
• Julie Walls-Sanders
• Bonnie Louise Walls, L.C.S.W.
• James Louis Walsh, D.C.
• Walter G. Fletcher, D.D.S.
• Alexandra Danielle Walters, D.O.
• Antoinette Walters
• Jessica Walther
• Sean Walton, O.D.
• Qun Wang

• Family Nurse Practitioner in Ocala, FL
• Providers in Ocala, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.