Active NPI
Kiersten Walker, ED.S.
- School Psychologist
- Goodyear, AZ
National Provider Identifier
1023222957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 18380 W Estes Way
Goodyear, AZ 85338-9634 - Phone
- (623) 536-8541
- NPI assigned
- May 10, 2007
- Last updated
- Jul 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | AZ | Primary |
Addresses
Primary practice location
18380 W Estes Way
Goodyear, AZ 85338-9634
Mailing address
18380 W Estes Way
Goodyear, AZ 85338-9634
Phone (623) 536-8541
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185408000000",
"number": "1023222957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18380 W ESTES WAY",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853389634",
"telephone_number": "623-536-8541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18380 W ESTES WAY",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853389634",
"telephone_number": "623-536-8541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "KIERSTEN",
"credential": "ED.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2007-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goodyear, AZ
- Kelli Wagner, LPC
- Walgreen Co (Walgreens #12334)
- Walgreen Co (Walgreens #02243)
- Walgreen Co (Walgreens #03657)
- Walgreen Co (Walgreens #12386)
- Meredith Wall, DPT
- Robert Wallen, PMHNP
- Walmart Inc. (Walmart Pharmacy 10-3604)
- Walmart Inc. (Walmart Pharmacy 10-5369)
- Walmart Stores, Inc. (Walmart Vision Center 30-5369)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.