Katherine Walworth

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

350 City View Dr
Suite # 302
Evanston, WY 82930-5327

Phone

(307) 789-7915

Fax

(307) 789-6009

NPI assigned

Aug 17, 2011

Last updated

Aug 17, 2011By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313539200000",
    "number": "1013297415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 CITY VIEW DR",
            "address_2": "SUITE # 302",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829305327",
            "telephone_number": "307-789-7915",
            "fax_number": "307-789-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 CITY VIEW DR",
            "address_2": "SUITE # 302",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829305327",
            "telephone_number": "307-789-7915",
            "fax_number": "307-789-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALWORTH",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores, Inc. (Vision Center 30-1456)
• Renee C Walker
• Walmart Inc. (Walmart Pharmacy 10-1456)
• Heidi C Walter
• Antoinette Mari Walworth, BSN
• Christa Lena Weaver, FNP-BC
• Susan R Weber, BSN, RN,BC
• Joseph Hayden Welch, DMD
• Courtney Westbrook, CSW
• James Bruce Whiting, DDS

• Community Health Worker in Evanston, WY
• Providers in Evanston, WY by specialty
• Community Health Worker in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.