Seneca Walden

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-130973 Issued in AL

Practice address

1505 Daphne Ave
Daphne, AL 36526-4298

Phone

(251) 625-2663

Fax

(251) 625-3198

NPI assigned

Jun 20, 2016

Last updated

Jun 20, 2016By 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

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St. Vincent's Urgent Care LLCGroup PAC ID 9032463666, 5 clinicians

Hospital Medicine Associates LLCGroup PAC ID 9234156985, 208 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Vincent's Birmingham Hospital, Birmingham, AL, CCN 010056
• St Vincent's St Clair Hospital, Pell City, AL, CCN 010130

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: seneca.walden.1@9069.direct.athenahealth.com

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.

• St. Vincent's Urgent Care LLC

  • Urgent Care Clinic/Center
  • Homewood, AL
  • NPI 1346605821
  Medicare reassignment Care Compare group NPD
• Hospital Medicine Associates LLC

  • Hospitalist Physician
  • Baton Rouge, LA
  • NPI 1093758781

  AL

  Medicare reassignment Care Compare group NPD
• Baldwin Bone & Joint P C

  • Clinic/Center
  • Daphne, AL
  • NPI 1790714459
  Medicare reassignment NPD
• Vincentian Physician Services LLC

  • Family Medicine Physician
  • Birmingham, AL
  • NPI 1851698310
  Medicare reassignment NPD
• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Florence, AL
  • NPI 1639679962
  Medicare reassignment
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Hoover, AL
  • NPI 1538686498
  Medicare reassignment

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

• St. Vincent's Birmingham

  dba Ascension St. Vincent's Birmingham

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1841298999
  Care Compare affiliation
• St. Vincent's St. Clair, LLC

  dba Ascension St. Vincent's St. Clair

  • General Acute Care Hospital
  • Pell City, AL
  • NPI 1992809305
  Care Compare affiliation

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1972953081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 DAPHNE AVE",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264298",
            "telephone_number": "251-625-2663",
            "fax_number": "251-625-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 DAPHNE AVE",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264298",
            "telephone_number": "251-625-2663",
            "fax_number": "251-625-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDEN",
        "first_name": "SENECA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-130973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vida Screening LLC
• Julie M Volk
• Brady Wade
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0934)
• Wal-Mart Stores East, LP (Vision Center 30-0934)
• Walgreen Co (Walgreens #05606)
• Elizabeth Walker, FNP
• Vivian Elaine Waller
• Wallflowers Therapy, 501C3
• Jedidah Wangondu, LPC

• Family Nurse Practitioner in Daphne, AL
• Providers in Daphne, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.