Amy Christine Walquist

Primary specialty

Nutrition Support Registered NurseTaxonomy code 163WN1003X

License

131713 Issued in MO

Practice address

4138 Highway TT
Odessa, MO 64076-6354

Phone

(816) 506-8199

NPI assigned

Apr 14, 2020

Last updated

Apr 14, 2020By 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

Other names 1

• Amy Christine Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1013536531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4138 HIGHWAY TT",
            "city": "ODESSA",
            "state": "MO",
            "postal_code": "640766354",
            "telephone_number": "816-506-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4138 HIGHWAY TT",
            "city": "ODESSA",
            "state": "MO",
            "postal_code": "640766354",
            "telephone_number": "816-506-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALQUIST",
        "first_name": "AMY",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN1003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nutrition Support",
            "state": "MO",
            "license": "131713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "SMITH",
            "middle_name": "CHRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan Todd, LPC
• Rebecca Christine Trapp-Marquez, LMSW
• Amber Troyer, OD
• Janae Turner
• Courtney Lee Van Alstine
• Darion Weber, LPC
• Bailey Williams, MS, LPC
• Charles David Wise, LCSW
• Bradley Leonard Zink, DO
• Megan Zychinski, LCSW

• Registered Nurse in Odessa, MO
• Providers in Odessa, MO by specialty
• Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.