Rosanna L Walker, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH24761 Issued in FL

Practice address

714 Avenue C
Fort Pierce, FL 34950-4189

Phone

(772) 462-3800

NPI assigned

Mar 27, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1922635952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 NW MILNER DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349833392",
            "telephone_number": "772-462-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 AVENUE C",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504189",
            "telephone_number": "772-462-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ROSANNA",
        "middle_name": "L",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH24761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DH24761",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sanjiv Walia, M.D.
• Gloria June Walker-Koklys, MA028014
• Jalencia Daunya Walker
• Jared Tyrrell Walker, DC
• Nydia Walker
• Shantell Walkine
• Donna Wallace
• Theresa M Walsh, OTR/L
• David Garth Walters, M.D.
• Bo Wang, M.D.

• Dental Hygienist in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Dental Hygienist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.