Wall Anesthesia Inc.

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

1389652 Issued in FL

Legal business name

WALL ANESTHESIA INC.

Practice address

6485 Morgan la Fee LN
Fort Myers, FL 33912-1644

Phone

(239) 433-1749

NPI assigned

Jan 21, 2007

Organization subpart

No

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

Authorized official

Name

Kathleen Wall, CRNA

Title

President

Phone

(239) 433-1749

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1861545857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6485 MORGAN LA FEE LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121644",
            "telephone_number": "239-433-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6485 MORGAN LA FEE LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121644",
            "telephone_number": "239-433-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALL ANESTHESIA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-21",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-433-1749",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "1389652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Walker, CRNA
• Joseph P Walker, M.D.
• Lyla Walker
• Melinda Walker, BCABA
• Reilly Walker
• Kathleen Wall, CRNA
• Jordan Wallace, PHARMD
• Tasha B Wallace, D.O.
• Anthony Waller
• Wallis Chiropractic LLC

• Certified Registered Nurse Anesthetist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.