Active NPI
Suzanne Michele Walters, RN
- Oncology Registered Nurse
- Lexington, KY
National Provider Identifier
1851012231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Registered Nurse
- License
- 1106957
- Practice address
- 1700 Nicholasville Rd
Lexington, KY 40503-1463 - Phone
- (859) 492-0503
- NPI assigned
- Sep 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oncology Registered Nurse | 163WX0200X | 1106957 | KY | Primary |
Addresses
Primary practice location
1700 Nicholasville Rd
Lexington, KY 40503-1463
Mailing address
2411 Lady Bedford PL
Lexington, KY 40509-9022
Phone (859) 492-0503
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1106957 | KY | MD | Oncology Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1851012231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2411 LADY BEDFORD PL",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405099022",
"telephone_number": "859-492-0503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 NICHOLASVILLE RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405031463",
"telephone_number": "859-492-0503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTERS",
"first_name": "SUZANNE",
"middle_name": "MICHELE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-06",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "163WX0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Oncology",
"state": "KY",
"license": "1106957",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Email",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "2411 Lady Bedford Place",
"city": "Lexington",
"state": "KY",
"country_code": "US",
"postal_code": "40509",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.