Active NPI
Alicia Lynn Walker, RDH
- Dental Hygienist
- Maryville, TN
National Provider Identifier
1023768702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH0000003956
- 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
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 |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DH0000003956 | TN | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Klein Dental Arts PLLC | Current | 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.
-
- General Practice Dentistry
- Maryville, TN
- NPI 1689343139
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.