Individual provider Active NPI

Trudy Larimore Walker, DR OF CHIROPRACTIC

  • Chiropractor
  • Tucson, AZ
National Provider Identifier
1053495796
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4442 Issued in AZ
Practice address
3777 E Golder Ranch Dr
Tucson, AZ 85739-9797
Phone
(520) 825-3103
Fax
(520) 825-2225
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4442 AZ Primary

Addresses

Primary practice location

3777 E Golder Ranch Dr
Tucson, AZ 85739-9797

Mailing address

PO Box 8681
Catalina, AZ 85738-0681
Phone (520) 825-3103

Other identifiers 7

IdentifierTypeStateIssuer
5580360OtherAZAETNA
1024511OtherAZAM SPECIALTY NETWORK
860751510OtherAZUNITED HEALTH CARE
1053495796OtherAZAZ BLUE SHIELD
623176OtherAZAM CHIRO NETWORK
A20233000OtherAZBLUE CROSS BLUE SHIELD
1Z5617OtherAZHEALTH NET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040514000344 AZ Practitioner - Chiropractic 3577553221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3777 E Golder Ranch Rd
Tucson, AZ 85739-9797
Phone (520) 825-3103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Larimore Chiropractic, PC Chiropractor CurrentSince Mar 31, 2008 Accepting new patients

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1053495796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8681",
            "city": "CATALINA",
            "state": "AZ",
            "postal_code": "857380681",
            "telephone_number": "520-825-3103",
            "fax_number": "520-825-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3777 E GOLDER RANCH DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857399797",
            "telephone_number": "520-825-3103",
            "fax_number": "520-825-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "TRUDY",
        "middle_name": "LARIMORE",
        "name_prefix": "Dr.",
        "credential": "DR OF CHIROPRACTIC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5580360",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AM SPECIALTY NETWORK",
            "identifier": "1024511",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "860751510",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ BLUE SHIELD",
            "identifier": "1053495796",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AM CHIRO NETWORK",
            "identifier": "623176",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "A20233000",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "1Z5617",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.