Individual provider Active NPI

Christie Harris Walters, WHNP

  • Women's Health Nurse Practitioner
  • Monroe, LA
National Provider Identifier
1952593378
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP05268 Issued in LA
Practice address
312 Grammont St
Ste 300
Monroe, LA 71201-7403
Phone
(319) 388-4030
Fax
(318) 325-8437
NPI assigned
Aug 10, 2007
Last updated
Jan 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X AP05268 LA Primary

Addresses

Primary practice location

312 Grammont St
Ste 300
Monroe, LA 71201-7403

Mailing address

312 Grammont St
Ste 300
Monroe, LA 71201-7403
Phone (318) 388-4030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070910000705 LA Practitioner - Nurse Practitioner 8820181670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womans Clinic of Monroe AMCGroup PAC ID 1355357112, 11 clinicians

Practice addresses (Care Compare)

417 McMillan Rd
West Monroe, LA 71291-5325
Phone (318) 388-4030

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP05268LAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Woman's Clinic of Monroe, AMC CurrentSince Aug 13, 2007 Accepting new patients

Locations

312 Grammont St
Ste 300
Monroe, LA 71201
Phone (318) 388-4030

2600 N 7th St
Ste 504
West Monroe, LA 71291

417 McMillan Rd
West Monroe, LA 71291
Phone (318) 322-7119

Interoperability endpoints

  • Direct secure messaging: christie.walters.p1@direct.thewomansclinic.nextgenshare.com

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1952593378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 GRAMMONT ST",
            "address_2": "STE 300",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017403",
            "telephone_number": "318-388-4030",
            "fax_number": "318-998-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 GRAMMONT ST",
            "address_2": "STE 300",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017403",
            "telephone_number": "319-388-4030",
            "fax_number": "318-325-8437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "CHRISTIE",
        "middle_name": "HARRIS",
        "name_prefix": "Mrs.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-10",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "LA",
            "license": "AP05268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.