What is Mica Walthall's NPI number?

Mica Walthall's National Provider Identifier (NPI) is 1417220625, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Mica Walthall's specialty?

Mica Walthall is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).

Where is Mica Walthall located?

Mica Walthall's practice location on file with NPPES is 2 Maler Ln, Patchogue, NY 11772-3558.

What is Mica Walthall's phone number?

The practice phone number listed in the NPPES registry for Mica Walthall is (631) 639-6682.

Is Mica Walthall's NPI active?

Yes — Mica Walthall's NPI (1417220625) is active in the NPPES registry as of the last update on 2012-02-17.

IndividualActive

Mica Walthall, LPN

NPI 1417220625 · Licensed Practical Nurse · Patchogue, NY

Mica Walthall, LPN is a Licensed Practical Nurse provider in Patchogue, NY (NPI 1417220625).

Provider details

NPI number: 1417220625
Entity type: Individual
Primary specialty: Licensed Practical NurseNursing Service Providers
Credential: LPN
Sex: Female
Sole proprietor: Yes
License: 270772 (NY)

Specialties & taxonomies

Licensed Practical NursePrimary164W00000XLicense 270772 (NY)
Nursing Service Providers

Profile Score

Detailed profile(80/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
14 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

2 Maler Ln

Patchogue, NY 11772-3558

Phone: (631) 639-6682

Street-level locationGet directions

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Mailing address