Tanja Walton

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

037428 Issued in MO

Practice address

1400 S Limit Ave Ste 9
Sedalia, MO 65301-5116

Phone

(660) 826-5885

Fax

(660) 826-5174

NPI assigned

Sep 11, 2014

Last updated

Sep 16, 2014By the provider in NPPES

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 names 1

• Mrs. Tanja G Walton Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Compass Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Rolla, MO
  • NPI 1558258632
  NPD (past)

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1942601778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S LIMIT AVE STE 9",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653015116",
            "telephone_number": "660-287-2454",
            "fax_number": "660-826-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S LIMIT AVE STE 9",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653015116",
            "telephone_number": "660-826-5885",
            "fax_number": "660-826-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "TANJA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MO",
            "license": "037428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANJA",
            "last_name": "WALTON",
            "middle_name": "G",
            "prefix": "MRS.",
            "credential": "LPN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Candice Wagenknecht, PLCSW
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0219)
• Wal-Mart Stores East, LP (Vision Center 30-0219)
• Walgreen Co (Walgreens #07428)
• Conrad Walley
• Mary B Watkins, SPEECH
• Trendon Thomas Jennings Watson, PHARMD
• West Central Missouri Diagnostic (Sedalia Imaging Center)
• West Central Missouri Orthopaedic Surgical Serivces P.C.
• Warren Eugene Weston, MD

• Licensed Practical Nurse in Sedalia, MO
• Providers in Sedalia, MO by specialty
• Licensed Practical Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.