Ricky Dale Walter Jr.

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

420 Pitcher Park SE
Devils Lake, ND 58301-3962

Phone

(701) 350-8031

NPI assigned

Dec 4, 2023

Last updated

Dec 4, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1922875541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670",
            "city": "FORT TOTTEN",
            "state": "ND",
            "postal_code": "583350670",
            "telephone_number": "701-798-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 PITCHER PARK SE",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583013962",
            "telephone_number": "701-350-8031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6583 35th St NE",
            "address_purpose": "LOCATION",
            "city": "Sheyenne",
            "state": "ND",
            "postal_code": "583749693",
            "country_code": "US",
            "telephone_number": "701-798-2070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTER",
        "first_name": "RICKY",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer Wahus
• Wal-Mart Stores, Inc. (Wal-Mart Vision Center 30-1695)
• Iris Walking Eagle
• Jessica Ann Wallette
• Whitney Wallette
• Jennifer Marie Warren
• Derek C Wayman, MD
• Lisa Westby
• White Drug Co of Jamestown Inc (White Drug #47 Dba Bell Drug)
• Jennifer L. White, M.S., CCC-SLP

• Personal Care Attendant in Devils Lake, ND
• Providers in Devils Lake, ND by specialty
• Personal Care Attendant in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.