Individual provider Active NPI

Kia Tiyanna Walker

  • Naturopath
  • New Haven, CT
National Provider Identifier
1033416508
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
000457 Issued in CT
Practice address
396 Orange St Rear Building
New Haven, CT 06511-6443
Phone
(203) 777-7911
Fax
(203) 777-7918
NPI assigned
Feb 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 000457 CT Primary

Addresses

Primary practice location

396 Orange St Rear Building
New Haven, CT 06511-6443

Mailing address

115 Park Ave
Room #4
Bridgeport, CT 06604-5621
Phone (914) 299-4849

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
000457CTMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
East West Integrative Health Clinic, LLC Naturopath Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11952/brand/1/csg/1/fhir/r4

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": "1297987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297987200000",
    "number": "1033416508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PARK AVE",
            "address_2": "ROOM #4",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066045621",
            "telephone_number": "914-299-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 ORANGE ST REAR BUILDING",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065116443",
            "telephone_number": "203-777-7911",
            "fax_number": "203-777-7918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KIA",
        "middle_name": "TIYANNA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-18",
        "last_updated": "2011-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CT",
            "license": "000457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.