Tiffany Marie Walton, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

10304898 Issued in NY

Practice address

149 Virgil Ave
Buffalo, NY 14216-1805

Phone

(716) 936-1873

NPI assigned

Mar 13, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Tiffany Marie Walton Professional name

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": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433548800000",
    "number": "1811313877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 VIRGIL AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142161805",
            "telephone_number": "716-936-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 VIRGIL AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142161805",
            "telephone_number": "716-936-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "TIFFANY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-13",
        "last_updated": "2015-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "10304898",
            "primary": true
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NY",
            "license": "22685068",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "NY",
            "license": "22685068",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03810262",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "WALTON",
            "middle_name": "MARIE",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kelly Marie Walters, RN
• Misty Jean Walters, LCSW-R
• Bethany Colyne Walton
• India Walton, RN
• Jennifer Lee Walton, LCSW, CASAC
• Erik Waltz, PA
• Lisa A Walworth, RPH
• Carrie Ann Wanamaker, D.D.S.
• Janine Wanamaker, AGPCNP
• Christine Wandzilak, DNP

• Licensed Practical Nurse in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2015; 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.