Jolienne Adria Walters-Harvey, NURSE PRACTITIONER

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

401410-1 Issued in NY

Practice address

79 Middleville Road
Department of Veterans Affairs
Northport, NY 11768

Phone

(631) 261-4400

NPI assigned

Dec 23, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1324598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1841569514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 CROMBIE ST",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117461506",
            "telephone_number": "631-223-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 MIDDLEVILLE ROAD",
            "address_2": "DEPARTMENT OF VETERANS AFFAIRS",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "11768",
            "telephone_number": "631-261-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS-HARVEY",
        "first_name": "JOLIENNE",
        "middle_name": "ADRIA",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-23",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401410-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nandita Wadhwa, M.D.
• Krista Waldhauer, BS
• Walgreen Co (Walgreens #10751)
• Walgreen Co (Rite Aid)
• Colleen Walsh-Irwin, NP
• Jessica F Walz, PA
• Jennifer C Wang
• Heather Dawn Watson-Mott, MSW
• Kyle Devon Watts, CTRS
• Bushra Wazed, MD

• Psychiatric/Mental Health Nurse Practitioner in Northport, NY
• Providers in Northport, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.