Individual provider Active NPI

Judith Ann Walters, DNP, APRN, PMHCNS-BC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Cape Coral, FL
National Provider Identifier
1811050909
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
APRN9349898 Issued in FL
Practice address
1222 SE 47TH St Ste 112
Cape Coral, FL 33904-9602
Phone
(239) 448-5959
Fax
(239) 946-0232
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 484602 NY
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X CNS9349898 FL
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X APRN9349898 FL Primary

Addresses

Primary practice location

1222 SE 47TH St Ste 112
Cape Coral, FL 33904-9602

Mailing address

1222 SE 47TH St Ste 112
Cape Coral, FL 33904-9602
Phone (239) 448-4949

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241002003952 FL Practitioner - Nurse Practitioner 7416933197 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CNS9349898FLMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Treatment Team LLC CurrentSince Sep 18, 2024 Accepting new patients
Healing Heart Connections, PLLC Psychiatric/Mental Health, Adult CurrentSince Jul 22, 2025 Accepting new patients
Therapy Treatment Team LLC PastSince Aug 6, 2023 Accepting new patients

Locations

12811 Kenwood Ln
Ste 202
Fort Myers, FL 33907
Phone (239) 537-9646

12811 Kenwood Ln
Ste 213
Fort Myers, FL 33907
Phone (239) 223-7328

27661 Cashford Cir
Ste 101
Wesley Chapel, FL 33544
Phone (813) 592-7448

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1811050909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 SE 47TH ST STE 112",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339049602",
            "telephone_number": "239-448-4949",
            "fax_number": "239-946-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 SE 47TH ST STE 112",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339049602",
            "telephone_number": "239-448-5959",
            "fax_number": "239-946-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, PMHCNS-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "484602",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "FL",
            "license": "CNS9349898",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "FL",
            "license": "APRN9349898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.