Nikki a Walden MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

L8999 Issued in TX

Legal business name

NIKKI A WALDEN MD PA

Practice address

4325 N Josey LN
300
Carrollton, TX 75010-4635

Phone

(972) 820-9333

NPI assigned

Jun 24, 2008

Organization subpart

No

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

Authorized official

Name

Mike Walden

Title

Office Manager

Phone

(972) 820-9333

Specialties & licenses 1

Addresses

Other identifiers 5

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nikki Anderson Walden, M.D.

  • Specialist
  • Carrollton, TX
  • NPI 1942210398
  NPD (past)

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1063673879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 118383",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750118383",
            "telephone_number": "972-820-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 N JOSEY LN",
            "address_2": "300",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104635",
            "telephone_number": "972-820-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKKI A WALDEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "WALDEN",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-820-9333"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "L8999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4732959",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARKLAND",
            "identifier": "16244",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "4501037598",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0066MH",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173131701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marjorie Deborah Nichols, LMSW-ACP
• Kayla Nickel, OTD, OTR
• Nicole Bryan, MD PLLC
• Eric Nielsen
• Ala Nijim, M.D
• Kurosh Nikpour
• Sharon Njoroge, NP
• NJP PLLC
• NM Rehab & Wellness Center
• Linda K Noblin, L.P.C.

• Specialist in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.