Kailey Walcker, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2043 Issued in ND

Practice address

1905 14TH St W
Williston, ND 58801-4063

Phone

(701) 651-6437

Fax

(701) 516-8462

NPI assigned

Aug 21, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Milestone Health Partners, LLC

  • Multi-Specialty Clinic/Center
  • Williston, ND
  • NPI 1336860428
  NPD
• Milestone Health Partners, LLC

  • Psychologist
  • Williston, ND
  • NPI 1942881560
  NPD

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1063296242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 14TH ST W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588014063",
            "telephone_number": "701-651-6437",
            "fax_number": "701-516-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 14TH ST W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588014063",
            "telephone_number": "701-651-6437",
            "fax_number": "701-516-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALCKER",
        "first_name": "KAILEY",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "ND",
            "license": "2043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clyde Vinger
• Wade Darr, LLC
• Deborah Elizabeth Wahus, LPC
• Donald Dean Wahus, LAC, NCACII, SAP
• Wal-Mart Stores, Inc.
• Jennifer Lynn Walker, PSYD
• Leisha Walker
• April Wallner
• Harry Wallner, PT
• Ashley Lynn Walter

• Occupational Therapy Assistant in Williston, ND
• Providers in Williston, ND by specialty
• Occupational Therapy Assistant in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.