Samuel R Walker, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86115189 Issued in PA

Practice address

675 Wyoming Ave
Kingston, PA 18704-3831

Phone

(570) 288-4205

NPI assigned

Jul 18, 2018

Sex

Male

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

Practice roles

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.

• Medical Profesional Service, PC

  • General Practice Physician
  • Kingston, PA
  • NPI 1821136227
  NPD (past)
• Mo Medical Management Inc.

  • Multi-Specialty Clinic/Center
  • Kingston, PA
  • NPI 1083161970
  NPD (past)
• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1073099313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 N ABINGTON RD",
            "city": "WAVERLY TOWNSHIP",
            "state": "PA",
            "postal_code": "184112302",
            "telephone_number": "570-587-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043831",
            "telephone_number": "570-288-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "SAMUEL",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "86115189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ira Vohra, M.D
• Pranav Vohra, DMD
• Ihor Voloshyn, DMD
• Walgreen Co
• Amanda Apolonia Waligun, PA-C
• Joritta L Walton, FNP-C
• Mallory Ward, BA, CAC
• Lori Lynn Warnagiris
• Michele Elizabeth Wasilauski, OD
• Diane Taylor Webber, LPC

• Registered Dietitian in Kingston, PA
• Providers in Kingston, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.