Active NPI
Karlie D Walkup, MS, LAT, ATC
- Athletic Trainer
- Avondale, AZ
National Provider Identifier
1003419318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- ATR-009444
- Practice address
- 13055 W McDowell Rd Ste G107
Avondale, AZ 85392-6450 - Phone
- (916) 599-1114
- NPI assigned
- Nov 18, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | ATR-009444 | AZ | Primary |
Addresses
Primary practice location
13055 W McDowell Rd Ste G107
Avondale, AZ 85392-6450
Mailing address
8203 W Oraibi Dr Apt 1110
Peoria, AZ 85382-4690
Phone (916) 599-1114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ATR-009444 | AZ | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706572800000",
"number": "1003419318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8203 W ORAIBI DR APT 1110",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853824690",
"telephone_number": "916-599-1114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13055 W MCDOWELL RD STE G107",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853926450",
"telephone_number": "916-599-1114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKUP",
"first_name": "KARLIE",
"middle_name": "D",
"credential": "MS, LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-18",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AZ",
"license": "ATR-009444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.