WALTER B. KING (NPI# 1275561961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275561961 |
| Entity Type | Individual |
| Full Name | WALTER B. KING |
| Credential | PSY.D. |
| Practice Address |
1925 E Orman Ave Suite G12 Pueblo CO 81004-3537 |
| Practice Telephone | 7195641800 |
| Practice Fax Number | 7195641865 |
| Mailing Telephone | 7195641800 |
| Mailing Fax Number | 7195641865 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2007-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
574 | CO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376690321 | Walter Francis King | Dentist | 45 E Main Street, Holmdel, NJ 07733 | 2007-01-04 |
| 1366525818 | Walter Harold King | Marriage & Family Therapist | 22621 Lyons Ave, 205, Newhall, CA 91321-1702 | 2006-10-20 |
| 1639162597 | Walter Lee King Jr. | Optometrist | 336 10th Ave Ne, Hickory, NC 28601-3834 | 2005-08-25 |
| 1427185891 | Walter Courtlandt King | Social Worker | 769 Plain St Ste I, Marshfield, MA 02050-2147 | 2007-02-27 |
| 1174689012 | Walter H King Jr. | Specialist | 2339 Mccallie Avenue, Suite 201, Chattanooga, TN 37404 | 2006-12-28 |
| 1568458768 | Walter Barnett King Jr. | Optometrist | 383 Maynard St, Pope Afb, NC 28308-2321 | 2005-09-22 |
| 1164415014 | Walter Lee King Sr. | Ophthalmology | 336 10th Ave Ne, Hickory, NC 28601-3834 | 2005-08-25 |
| Street Address |
1925 E ORMAN AVE SUITE G12 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81004-3537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841282498 | Gary E Lane | Surgery | 1925 E Orman Ave, Suite A109, Pueblo, CO 81004-3537 | 2005-08-19 |
| 1518385632 | Chafonta Laniece Whatley | Nurse Practitioner | 1925 E Orman Ave, Suite A235, Pueblo, CO 81004-3537 | 2014-04-04 |
| 1083988091 | Moira Annette Sergejev | Nurse Practitioner | 1925 E Orman Ave, Suite 440, Pueblo, CO 81004-3537 | 2012-03-08 |
| 1770733743 | Mallikarjuna Nallegowda | Pain Medicine | 1925 E Orman Ave, Suite A-235, Pueblo, CO 81004-3537 | 2008-09-25 |
| 1831351303 | David Boyd Cox | Surgery | 1925 E Orman Ave, Suite 357, Pueblo, CO 81004-3537 | 2008-06-26 |
| 1588826259 | Eugene D. Chen, Md. Pllc | Surgery | 1925 E Orman Ave, Pueblo, CO 81004-3537 | 2008-06-25 |
| 1790975043 | Pamela Joy Cornella | Nurse Practitioner | 1925 E Orman Ave, A640, Pueblo, CO 81004-3537 | 2007-08-01 |
| 1669681581 | Heritage Internal Medicine, PC | Internal Medicine | 1925 E Orman Ave, Suite A535, Pueblo, CO 81004-3537 | 2007-05-21 |
| 1457483067 | Roxann D Murphy | Hearing Instrument Specialist | 1925 E Orman Ave, Suite 357, Pueblo, CO 81004-3537 | 2007-03-09 |
| 1205987583 | Christian G Hulett | Internal Medicine | 1925 E Orman Ave, Suite A535, Pueblo, CO 81004-3537 | 2007-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780155929 | Renee C Lane | Nurse Practitioner | 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 | 2018-12-16 |
| 1215406913 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2625 W. Pueblo Blvd, Pueblo, CO 81004 | 2018-11-26 |
| 1053895532 | Rebecka Ann Reatherford | Nurse Practitioner | St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 | 2018-09-20 |
| 1124510821 | Angela M Sillas-green | Counselor | 327 Colorado Ave., Pueblo, CO 81004 | 2018-05-30 |
| 1558898569 | Alexandra R B King | Family Medicine | Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 | 2017-05-22 |
| 1578098752 | James Williams | Counselor | 414 Broadway Ave, Pueblo, CO 81004 | 2017-04-26 |
| 1740732601 | Valerie A Senger | Counselor | 635 W Corona Ave Ste 214, Pueblo, CO 81004 | 2016-10-26 |
| 1194111500 | A New Leaf Therapy, Pllc | Community/Behavioral Health | 327 Colorado Ave, Pueblo, CO 81004 | 2015-04-13 |
| 1619371671 | Mariah Mcginnis | Registered Nurse | 1232 Van Buren St., Pueblo, CO 81004 | 2014-10-20 |
| 1730593112 | Maritza Martinez | Registered Nurse | 1026 Wabriendo Ave, Pueblo, CO 81004 | 2014-06-13 |
| Find all providers in zip 81004 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972969699 | Arlene Weimer Phd | Psychologist | 708 Hunter Dr, Pueblo, CO 81001-1812 | 2016-01-11 |
| 1992733687 | Patricia A. Levy | Psychologist | 1925 E Orman Ave, Suite G12, Pueblo, CO 81004-3537 | 2006-06-29 |
| 1588627202 | Teresa Marshall | Psychologist | 708 Hunter Dr, Pueblo, CO 81001-1812 | 2006-04-11 |
| 1659345544 | Arlene Weimer | Psychologist | 708 Hunter Dr, Pueblo, CO 81001-1812 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785027 | Amy Lawson Moore | Psychologist | 5085 List Dr Ste 200c, Colorado Springs, CO 80919-3301 | 2020-06-19 |
| 1366066110 | Ione Renee Lafata | Psychologist | 31 Spruce Lake Dr, Divide, CO 80814-9757 | 2020-06-07 |
| 1104450394 | Sarah Ann Haider | Psychologist | 7120 E Orchard Rd Ste 305, Centennial, CO 80111-1734 | 2020-02-26 |
| 1417595976 | Deborah M Rosenberg Phd LLC | Psychologist | 3721 Evergreen Pkwy Ste 10, Evergreen, CO 80439-7774 | 2019-12-16 |
| 1174073274 | Rajmatie Hardial-hosein | Psychologist | 6755 Beech Ct, Arvada, CO 80004-2045 | 2016-10-12 |
| 1952752487 | Mariah Coe | Psychologist | 2001 S. Shields, Building K, Fort Collins, CO 80525 | 2016-06-27 |
| 1568842821 | Mariah E. Coe | Psychologist | 2339 Quartz St, Castle Rock, CO 80109-3668 | 2015-06-02 |
| 1588056006 | New Horizons/nuevos Horizontes | Psychologist | 11515 E Amherst Cir N, Aurora, CO 80014-3046 | 2015-02-20 |
| 1902213655 | Edward Phillip Mockus | Psychologist | 1032 N Lincoln Ave, Loveland, CO 80537-4989 | 2014-07-15 |
| 1871913533 | Loraine Jenness | Psychologist | 6890 Eagle Wing Dr, Colorado Springs, CO 80908-2702 | 2014-04-21 |
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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.