Individual provider Active NPI

Alicia Lynn Walker, RDH

  • Dental Hygienist
  • Maryville, TN
National Provider Identifier
1023768702
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH0000003956 Issued in TN
Practice address
1905 W Broadway Ave
Maryville, TN 37801-5401
Phone
(865) 983-0941
NPI assigned
Mar 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH0000003956 TN Primary

Addresses

Primary practice location

1905 W Broadway Ave
Maryville, TN 37801-5401

Mailing address

8553 Carl Valentine Cir
Knoxville, TN 37931-4950
Phone (865) 724-3911

Other names 1

  • Alicia Lynn Slaughter Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL walker221 Direct

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

State licenses

LicenseStateTypeSpecialty
DH0000003956TNMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Klein Dental Arts PLLC CurrentSince Mar 27, 2022 Accepting new patients

Locations

1905 W Broadway Ave
Maryville, TN 37801
Phone (865) 983-0941

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1023768702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8553 CARL VALENTINE CIR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379314950",
            "telephone_number": "865-724-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 W BROADWAY AVE",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378015401",
            "telephone_number": "865-983-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ALICIA",
        "middle_name": "LYNN",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "TN",
            "license": "DH0000003956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "walker221",
            "affiliation": "N",
            "endpointDescription": "name",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8553 Carl Valentine Cir",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379314950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "SLAUGHTER",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maryville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.