Kondi O Walters-Smith, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R180720 Issued in MD

Practice address

12114 Blue Flag Way
Columbia, MD 21044-2753

Phone

(301) 741-0307

NPI assigned

Dec 18, 2017

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

Medicare fee-for-service enrollment

Enrolled in MD, DC, VA3 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 3

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Promed Preferred MD Professional CorporationGroup PAC ID 3577003110, 6 clinicians

Bhmat Consulting LLCGroup PAC ID 9335590439, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Bhmat Consulting LLC

  • Internal Medicine Physician
  • Catonsville, MD
  • NPI 1659094753

  DC, VA

  Medicare reassignment Care Compare group NPD
• Promed Preferred MD Professional Corporation

  • Internal Medicine Physician
  • Toms River, NJ
  • NPI 1831934868

  DC, MD

  Medicare reassignment Care Compare group NPD
• Proactive Wellnessnp

  • Multi-Specialty Clinic/Center
  • Columbia, MD
  • NPI 1124704085
  NPD Authorized official
• Outreach Recovery II, LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Laurel, MD
  • NPI 1427541838
  Medicare reassignment

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1780190595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12114 BLUE FLAG WAY",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442753",
            "telephone_number": "301-741-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12114 BLUE FLAG WAY",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442753",
            "telephone_number": "301-741-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS-SMITH",
        "first_name": "KONDI",
        "middle_name": "O",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-18",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R180720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Walls, CRNA
• Carly Lynn Walsh
• Sheila Walsh
• Olivia Paige Walter, BCBA
• Katherine Lee Waltermeyer
• Dianne Elizabeth Walters
• Obrielle Walters
• Christina Walther, RBT
• Sophia Wan
• Wandering Lotus Healing Arts, LLC

• Family Nurse Practitioner in Columbia, MD
• Providers in Columbia, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.