Billie G Waltz

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

13-63427-102 Issued in KS

Practice address

117 S 2 Mile Rd
Fort Gibson, OK 74434-7803

Phone

(918) 577-8215

NPI assigned

Jun 26, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751155200000",
    "number": "1790673796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S 2 MILE RD",
            "city": "FORT GIBSON",
            "state": "OK",
            "postal_code": "744347803",
            "telephone_number": "918-577-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S 2 MILE RD",
            "city": "FORT GIBSON",
            "state": "OK",
            "postal_code": "744347803",
            "telephone_number": "918-577-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTZ",
        "first_name": "BILLIE",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-06-29",
        "certification_date": "2025-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0087624",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "13-63427-102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Therapy House
• Carlene Toney, PTA
• Walker & Walker P.L.L.C. (Ft. Gibson Family Dentistry)
• Andrew L Walker, DDS
• Michelle Wallace
• Justin Matthew Wedman, PHARM. D.
• Ashlee West, PTA
• Joyce White
• David Stanton Wilson, MD
• Laura Ye

• Registered Nurse in Fort Gibson, OK
• Providers in Fort Gibson, OK by specialty
• Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.