NICOLE ELAINE WALTERS
NPI 1891496071
Licensed Practical Nurse in Fort Wayne, IN

Active since March 14, 2023
2121 LAKE AVE, FORT WAYNE, IN 46805(260) 426-5431 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Elaine Walters NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE ELAINE WALTERS (NPI 1891496071) is an individual licensed practical nurse in Fort Wayne, Indiana, licensed in Ohio (LPN.131735.MEDS.IV) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1891496071
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameNICOLE ELAINE WALTERS
Location Address2121 LAKE AVEFort Wayne, IN 46805-5100
Mailing Address2121 Lake AveFort Wayne, IN 46805-5100 · (260) 426-5431
Sole ProprietorNo
Enumeration DateMarch 14, 2023
NPPES CertifiedMarch 14, 2023
NPI 1891496071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in OH · LPN.131735.MEDS.IV
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2121 LAKE AVE, Fort Wayne, IN 46805

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Oncology)
2121 LAKE AVE
FORT WAYNE, IN 46805
Pharmacist
2121 LAKE AVE
FORT WAYNE, IN 46805
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2121 LAKE AVE
FORT WAYNE, IN 46805
Registered Nurse (Home Health)
2121 LAKE AVE
FORT WAYNE, IN 46805
Registered Nurse
2121 LAKE AVE
FORT WAYNE, IN 46805
Surgery
2121 LAKE AVE, VETERANS AFFAIRS MEDICAL CENTER
FORT WAYNE, IN 46805
Social Worker (Clinical)
2121 LAKE AVE
FORT WAYNE, IN 46805
Registered Nurse (General Practice)
2121 LAKE AVE
FORT WAYNE, IN 46805

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Walters's NPI number?

The NPI number for Nicole Walters is 1891496071. It was assigned to this individual provider in the NPPES registry on March 14, 2023.

Where is Nicole Walters located?

Nicole Walters practices at 2121 Lake Ave, Fort Wayne, IN 46805. The listed phone number is (260) 426-5431.

What is Nicole Walters's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Nicole Walters was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.