Individual provider Active NPI

Theresa Lyn Walters, BHS, RRT

  • Registered Respiratory Therapist
  • Fayetteville, AR
National Provider Identifier
1912821687
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
RCP-3625 Issued in AR
Practice address
458 N Snyders Bluff Dr
Fayetteville, AR 72704-4022
Phone
(479) 879-7558
NPI assigned
Aug 6, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X RCP-3625 AR Primary

Addresses

Primary practice location

458 N Snyders Bluff Dr
Fayetteville, AR 72704-4022

Mailing address

458 N Snyders Bluff Dr
Fayetteville, AR 72704-4022
Phone (479) 879-7558

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

NPI Registry JSON

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

{
    "created_epoch": "1785974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1912821687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 N SNYDERS BLUFF DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727044022",
            "telephone_number": "479-879-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 N SNYDERS BLUFF DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727044022",
            "telephone_number": "479-879-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "THERESA",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "BHS, RRT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-06",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "AR",
            "license": "RCP-3625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.