Lynn Sandford Victoria Walls, ANP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704257292 Issued in MI

Practice address

481 Aarons Way
Ortonville, MI 48462-9046

Phone

(248) 660-6497

NPI assigned

Aug 14, 2012

Last updated

Aug 14, 2012By the provider in NPPES

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

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1851648323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 AARONS WAY",
            "city": "ORTONVILLE",
            "state": "MI",
            "postal_code": "484629046",
            "telephone_number": "248-660-6497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 AARONS WAY",
            "city": "ORTONVILLE",
            "state": "MI",
            "postal_code": "484629046",
            "telephone_number": "248-660-6497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLS",
        "first_name": "LYNN",
        "middle_name": "SANDFORD VICTORIA",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704257292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Sherer, RN
• Jay Andrew Stark, DC
• The Counseling Company P.L.C.
• Suzanne Cheryl Tobey, LMSW
• Township of Brandon (Township of Brandon Fire Department)
• Theresa Lynn Welch
• Wills Family Chiropractic, Inc.
• Jason C Wills, D.C.
• Nathan Yaldo, DDS
• Charise Zielinsky, RN

• Adult Health Nurse Practitioner in Ortonville, MI
• Providers in Ortonville, MI by specialty
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.