Michelle Ann Walter, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN105167 Issued in OH

Practice address

6696 Giddings Rd
Rootstown, OH 44272-9766

Phone

(330) 671-7259

Fax

(330) 297-9455

NPI assigned

May 15, 2007

Last updated

Jul 9, 2007By the provider in NPPES

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 1

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1790991180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6696 GIDDINGS RD",
            "city": "ROOTSTOWN",
            "state": "OH",
            "postal_code": "442729766",
            "telephone_number": "330-671-7259",
            "fax_number": "330-297-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6696 GIDDINGS RD",
            "city": "ROOTSTOWN",
            "state": "OH",
            "postal_code": "442729766",
            "telephone_number": "330-671-7259",
            "fax_number": "330-297-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "MICHELLE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN105167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2380169",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hattie M Tracy, LISW, LCDCIII
• Timothy Robert Ulbrich
• Cynthia C Uzoukwu
• Joshua Thomas Vogt
• Katherine Voytkiv
• Sophie Wang
• Ian Ward
• Amber Waselesky
• Lisa Marie Waselesky
• Randon Scott Welton, MD

• Licensed Practical Nurse in Rootstown, OH
• Providers in Rootstown, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.