Jan Marie Walters, RN, BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

114051-30 Issued in WI

Practice address

163347 River Hills Rd
Wausau, WI 54403-8860

Phone

(715) 551-9815

NPI assigned

Jun 30, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1831821545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163347 RIVER HILLS RD",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544038860",
            "telephone_number": "715-551-9815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163347 RIVER HILLS RD",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544038860",
            "telephone_number": "715-551-9815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "JAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "114051-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "waltersj68@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "as needed",
            "address_1": "163347 River Hills Rd",
            "city": "Wausau",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544038860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Darcy Wall, LCSW
• Dawn M Wallis, RN
• Meghan Walls, FNP-BC
• Helen Angela Guadalupe Walsh
• Stephanie Kaye Walters, DDS
• Emily Wanca, PHARMD
• Aaron C Wanish, PA-C
• Brittney Wanless, FNP
• David J Wanserski, DDS, MS

• Registered Nurse in Wausau, WI
• Providers in Wausau, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.