Individual provider Active NPI

Dianne Elizabeth Walters

  • Family Medicine Physician
  • Columbia, MD
National Provider Identifier
1841991973
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R145586 Issued in MD
Practice address
8325 Guilford Rd Ste E
Columbia, MD 21046-2817
Phone
(410) 991-1807
NPI assigned
Mar 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R145586 MD Primary

Addresses

Primary practice location

8325 Guilford Rd Ste E
Columbia, MD 21046-2817

Mailing address

8325 Guilford Rd Ste E
Columbia, MD 21046-2817
Phone (410) 991-1807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20230629000019 MD Practitioner - Nurse Practitioner 0244699981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seton Medical Group IncGroup PAC ID 7416037924, 77 clinicians

Practice addresses (Care Compare)

6740 Alexander Bell Dr
Suite 300
Columbia, MD 21046-2248
Phone (410) 564-0000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Medical Group, Inc Family Medicine CurrentSince Jun 15, 2023 Accepting new patients

Locations

700 Geipe Rd
Ste 200
Catonsville, MD 21228
Phone (410) 292-0038

6740 Alexander Bell Dr
Ste 300
Columbia, MD 21046
Phone (410) 564-0000

8325 Guilford Rd
Ste E
Columbia, MD 21046
Phone (410) 564-0000

2850 North Ridge Rd
Ste 103
Ellicott City, MD 21043
Phone (410) 465-8119

3585 Washington Blvd
Halethorpe, MD 21227

Organizations & group practices 1

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": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1841991973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8325 GUILFORD RD STE E",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462817",
            "telephone_number": "410-991-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8325 GUILFORD RD STE E",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462817",
            "telephone_number": "410-991-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "DIANNE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "R145586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.