Individual provider Active NPI

Evi Roma Waeltz, MSN, ARNP, FNP-BC

  • Family Nurse Practitioner
  • Palm Springs, FL
National Provider Identifier
1851757108
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9337774 Issued in FL
Practice address
3472 Forest Hill Blvd Ste 2C
Palm Springs, FL 33406-5864
Phone
(561) 688-8917
NPI assigned
Dec 31, 2015
Last updated
Mar 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9337774 FL Primary

Addresses

Primary practice location

3472 Forest Hill Blvd Ste 2C
Palm Springs, FL 33406-5864

Mailing address

3472 Forest Hill Blvd Ste 2C
Palm Springs, FL 33406-5864
Phone (561) 688-8917

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
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
ARNP9337774FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1851757108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3472 FOREST HILL BLVD STE 2C",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334065864",
            "telephone_number": "561-688-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3472 FOREST HILL BLVD STE 2C",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334065864",
            "telephone_number": "561-688-8917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAELTZ",
        "first_name": "EVI",
        "middle_name": "ROMA",
        "credential": "MSN, ARNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-31",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9337774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.