MS. KELLY D WALKER (NPI# 1114542354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114542354 |
| Entity Type | Individual |
| Full Name | MS. KELLY D WALKER |
| Credential | CIPS, CC, CCHW, CMHP |
| Practice Address |
1942 W King St Quincy FL 32351-2057 |
| Practice Telephone | 8505677620 |
| Enumeration Date | 2020-06-13 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CIS379114 | FL | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CMHP56798 | FL | Behavioral Health & Social Service Providers |
| N | 146D00000X | Personal Emergency Response Attendant | 0865AYC | FL | Emergency Medical Service Providers |
| N | 172V00000X | Community Health Worker | CCHW590116 | FL | Other Service Providers |
| N | 251S00000X | Community/Behavioral Health | 0900HTG | FL | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831703735 | Kelly Gay Walker | Technician | 8b Lynwood Ter, Huntington, WV 25705-3925 | 2020-09-08 |
| 1124502034 | Kelly Walker | Speech-Language Pathologist | 200 Bruce Ave, Paducah, KY 42001-6731 | 2018-09-18 |
| 1245691583 | Kelly A Walker | Registered Nurse | 3100 S. Avenue A, Yuma, AZ 85364 | 2016-03-15 |
| 1679930580 | Kelly Lajoy Walker | Registered Nurse | 105 Balsam Ln, Fairport, NY 14450-1054 | 2016-01-22 |
| 1972980506 | Kelly Marie Walker | Behavioral Analyst | 800 N Watters Rd Ste 120, Allen, TX 75013-5346 | 2015-05-04 |
| 1538594791 | Kelly Elizabeth Walker | Mechanotherapist | 46 Royal Palm Pt, Vero Beach, FL 32960-5217 | 2013-09-06 |
| 1033555487 | Kelly Elizabeth Walker | Behavioral Analyst | 940 Southlakes Way Sw, Vero Beach, FL 32968-7526 | 2013-05-13 |
| 1437427861 | Kelly Lynn Walker | Mechanotherapist | 48 Cedar Rd, Kings Park, NY 11754-3307 | 2011-12-13 |
| 1356555288 | Kelly Jean Walker | Contractor | 920 Cortland Way, Palm Harbor, FL 34683-6011 | 2007-05-10 |
| 1922133180 | Kelly Walker | Social Worker | 5455 Wilshire Blvd Ste 2139, Los Angeles, CA 90036 | 2007-02-21 |
| Street Address |
1942 W KING ST |
| City | QUINCY |
| State | FL |
| Zip Code | 32351-2057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922567627 | Porschia Moteka Johnson | Home Health | 1804 Mlk Jr Blvd, Quincy, FL 32351 | 2019-03-13 |
| 1841776556 | Caticia Shorter | Contractor | 315 Ray Road, Quincy, FL 32351 | 2018-07-16 |
| 1184170714 | Darlene Rollins Cunningham | Contractor | 716 Martin Luther King Jr. Blvd., Quincy, FL 32351 | 2016-09-01 |
| 1598186439 | Lydia Drayton | Technician, Pathology | 144 Gene Williams Rd, Quincy, FL 32351 | 2013-12-19 |
| 1609164987 | William Holzman | Dentist | 236 East Jefferson, Quincy, FL 32351 | 2011-07-20 |
| 1225338866 | Natalie S Franz | Registered Nurse | 278 Lasalle Lefall Dr., Qunicy, FL 32351 | 2010-10-29 |
| 1598915258 | Roiquista Ewana Harrison-albritton | Licensed Practical Nurse | 278 Dr. Lasalle Lefall, Quincy, FL 32351 | 2008-09-30 |
| 1265601835 | Crystal C Cutchins | Speech-Language Pathologist | 304 E. Jefferson St, Quincy, FL 32351 | 2008-02-27 |
| 1871761890 | Susan Nicholson Lajoie | Nurse Practitioner | 278 Dr. Lasalle Leffall Dr., Quincy, FL 32351 | 2008-02-12 |
| 1033399951 | Jill Mcelligott Welch | Midwife | 152 Winding Creek Rd, Quincy, FL 32351 | 2007-11-08 |
| Find all providers in zip 32351 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617339 | Meghan Earle | Counselor | 1354 Hancock St Ste 214, Quincy, MA 02169-5109 | 2020-10-19 |
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1427608223 | Derrick Lacasse | Counselor | 79 Curtis Ave Apt 1, Quincy, MA 02169-7200 | 2019-09-13 |
| 1396309134 | Ariana B Teixeira | Counselor | 859 Willard St Ste 4, Quincy, MA 02169-7482 | 2019-04-26 |
| 1417510553 | Seth Andrew Stultz I | Counselor | 23 Branch St, Quincy, MA 02169-7561 | 2019-04-15 |
| 1033676945 | Martinette Z Douglas | Counselor | 2931 Payson Hts Apt Suite, Quincy, IL 62305-6429 | 2019-02-27 |
| 1942772793 | Maura Eileen Papile | Counselor | 34 Coddington St, Quincy, MA 02169-4501 | 2018-12-18 |
| 1295219285 | Katrina D Reyes | Counselor | 460 Quincy Ave Fl 3, Quincy, MA 02169-8130 | 2018-09-17 |
| 1548740301 | Amanda Paige Reilly | Counselor | 500 Victory Rd Ste 24, Quincy, MA 02171-3109 | 2018-08-20 |
| 1023501517 | Kelly Marie O'gara | Counselor | 1419 Hancock St Ste 200, Quincy, MA 02169-5250 | 2018-06-11 |
| Find all providers in QUINCY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.