Active NPI 1114481868 Individual Practitioner Male Practitioner

Keith P Walters

Prevention Professional • Holland, MI

Professional Overview & Biography Verified Profile Summary

Keith Walters is a registered healthcare professional specializing in Prevention Professional in Holland, MI. Practice services are available at 370 COUNTRY CLUB RD STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

370 Country Club Rd Ste A

Holland, MI 494238303

Telephone 6168362896

Specialty Benchmarks & Practice Insights

Comparative analytics for Prevention Professional in Holland, MI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

2 Specialists

Practicing in Holland, MI (20 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Prevention Professional Primary Specialty

NUCC Taxonomy Code: 405300000X

State License MI N438257

Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Christopher Carlson , RECCAP, CCAR

Health & Wellness Coach

NPI 1639961303

Nelson Serrano

Peer Specialist

NPI 1770192429

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 28, 2019

NPI status registered as active in NPPES database

📍

Updated Practice Location January 28, 2019

Registered at 370 COUNTRY CLUB RD STE A, HOLLAND, MI 494238303 (Tel: 6168362896)

📍

Updated Business Mailing Address January 28, 2019

Registered at 370 COUNTRY CLUB RD STE A, HOLLAND, MI 494238303 (Tel: 6168362896)

👤

Provider Name / Credentials Updated January 28, 2019

Recorded as KEITH WALTERS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2019

Prevention Professional (License #N438257 in MI)

🟢

Initial NPI Registration & Enumeration January 28, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114481868

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 28, 2019

Last Update: January 28, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

370 Country Club Rd Ste A

Holland, MI 494238303

Phone: 6168362896

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.