Individual provider Active NPI

Kelsey Walker, MD

  • Family Medicine Physician
  • Desoto, TX
National Provider Identifier
1073005963
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
T4083 Issued in TX
Practice address
1801 N Hampton Rd
Desoto, TX 75115-2391
Phone
(469) 530-0376
NPI assigned
Jun 6, 2018
Last updated
May 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X T4083 TX Primary
General Practice Physician 208D00000X T4083 TX

Addresses

Primary practice location

1801 N Hampton Rd
Desoto, TX 75115-2391

Mailing address

312 Orchard PL
Red Oak, TX 75154-8861
Phone (214) 564-7365

Other practice location 1

3700 S Cooper St
Arlington, TX 76015-3413
Phone (817) 419-1046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220330001191 TX Practitioner - Family Practice 4284020355 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
T4083TXMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Family Medicine CurrentSince Mar 14, 2022 Accepting new patients
Healthtexas Provider Network CurrentSince Mar 14, 2022 Accepting new patients
The Gold Standard Health, PLLC Current Accepting new patients
Medexpress Urgent Care Texas, P.a. Current Accepting new patients
Medexpress Urgent Care Texas, P.a. CurrentSince Dec 1, 2023 Accepting new patients
Healthtexas Provider Network Family Medicine Current Accepting new patients
Medexpress Urgent Care Texas, P.a. Past Accepting new patients
Medexpress Urgent Care Texas, P.a. Past Accepting new patients

Locations

3700 S Cooper St
Arlington, TX 76015
Phone (817) 419-1046

301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

5001 S Hulen St
Fort Worth, TX 76132
Phone (817) 361-1928

22915 Morton Ranch Rd
Katy, TX 77449
Phone (281) 574-0124

4431 E Highway 287
Midlothian, TX 76065
Phone (469) 800-9790

4431 E Highway 287
Ste 100
Midlothian, TX 76065
Phone (972) 817-7500

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

1305 N Highway 77
Waxahachie, TX 75165
Phone (972) 937-1203

Interoperability endpoints

  • Direct secure messaging: kelsey.walker.1@27404.direct.athenahealth.com
  • Direct secure messaging: kwalker922400@direct.sw.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1073005963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 ORCHARD PL",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751548861",
            "telephone_number": "214-564-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N HAMPTON RD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152391",
            "telephone_number": "469-530-0376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 S Cooper St",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760153413",
            "country_code": "US",
            "telephone_number": "817-419-1046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KELSEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T4083",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "T4083",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

Verify at the official NPI Registry.