Ronny Alan Walden

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2416 Shelley LN
Clarkston, WA 99403-1444

Phone

(206) 514-4904

NPI assigned

Sep 6, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/30ec54bc-d6f1-41e4-8f29-88104e9b8ee6/

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1003001744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 SHELLEY LN",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994031444",
            "telephone_number": "206-514-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 SHELLEY LN",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994031444",
            "telephone_number": "206-514-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDEN",
        "first_name": "RONNY",
        "middle_name": "ALAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-06",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John William Vornholt, DDS
• W Richard Herbert MD PS
• Andrew Wade
• Brent Wesley Wahlberg Jr., RPT
• Wal-Mart Stores, Inc.
• Walgreen Co
• Shelby Wallace, LMP
• Raymond A Waller, DDS
• Walmart Inc.
• Walter Williams

• Mental Health Counselor in Clarkston, WA
• Providers in Clarkston, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.