Ingeborg J. Walsen, CNMT, NCT, RT(N)(CT)

Primary specialty

Nuclear Medicine Technology Radiologic TechnologistTaxonomy code 2471N0900X

License

7403884-5401 Issued in UT

Practice address

2360 E Pershing Blvd
VA Medical Center, Attn: Nuc Med
Cheyenne, WY 82001-5356

Phone

(307) 778-7550

NPI assigned

Mar 1, 2012

Last updated

May 7, 2012By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336348800000",
    "number": "1063786580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 E PERSHING BLVD",
            "address_2": "VA MEDICAL CENTER, ATTN: NUC MED",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820015356",
            "telephone_number": "307-778-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 E PERSHING BLVD",
            "address_2": "VA MEDICAL CENTER, ATTN: NUC MED",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820015356",
            "telephone_number": "307-778-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSEN",
        "first_name": "INGEBORG",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "CNMT, NCT, RT(N)(CT)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471N0900X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Nuclear Medicine Technology",
            "state": "UT",
            "license": "7403884-5401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Blake Wallace, MS
• Lexis Autumn Wallace
• Ryan R Wallace, CFA
• Walmart Inc. (Walmart Pharmacy 10-1315)
• Walmart Inc. (Walmart Pharmacy 10-4653)
• Clarissa Faye Walsh
• Amy E Walter, AU.D.
• Walton Holdings LLC
• Kaylyn Marie Walton, DPT
• Parker Roland Walton, DDS

• Radiologic Technologist in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Radiologic Technologist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.