Kimberely Lynn Mead-Walters, M.D,

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

150202 Issued in MA

Practice address

81 Old Colony Way
Suite D
Orleans, MA 02653-3278

Phone

(508) 240-1141

NPI assigned

Jul 21, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Physicians of Cape Cod Hospital

  • Neuroradiology Physician
  • Hyannis, MA
  • NPI 1679832364
  Medicare reassignment NPD
• Physicians of Falmouth Hospital

  • Internal Medicine Physician
  • Falmouth, MA
  • NPI 1821363698
  Medicare reassignment NPD

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386288000000",
    "number": "1073534665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 OLD COLONY WAY",
            "address_2": "SUITE D",
            "city": "ORLEANS",
            "state": "MA",
            "postal_code": "026533278",
            "telephone_number": "508-240-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 OLD COLONY WAY",
            "address_2": "SUITE D",
            "city": "ORLEANS",
            "state": "MA",
            "postal_code": "026533278",
            "telephone_number": "508-240-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEAD-WALTERS",
        "first_name": "KIMBERELY",
        "middle_name": "LYNN",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2013-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "150202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3150968",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Alan Maczko, DMD
• Alice Malone, MSW, LICSW
• Amy Beth Markey, MS PT
• Maureen Oregan
• Travis Campbell McCracken, PT, DPT
• Steven Gabriel Montoya, DDS
• Adrienne Morosini-Heilman, LICSW
• April J Naturale, PH.D., M.S.W.
• Nauset Chiropractic, Inc.
• Nauset Family Practice LLC

• Family Medicine Physician in Orleans, MA
• Providers in Orleans, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.