Individual provider Active NPI

Kay B Walker, M.D.

  • Specialist
  • Salt Lake City, UT
National Provider Identifier
1083608095
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
177304-1205 Issued in UT
Practice address
1121 E 3900 S
Salt Lake City, UT 84124-1286
Phone
(801) 281-1300
NPI assigned
Sep 6, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 177304-1205 UT Primary

Addresses

Primary practice location

1121 E 3900 S
Salt Lake City, UT 84124-1286

Mailing address

4403 Harrison Blvd
Ste 4640
Ogden, UT 84403-3304
Phone (801) 387-4850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20031117000306 UT Practitioner - Allergy/Immunology 9133033947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of California, Davis School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vicki J Lyons MD PCGroup PAC ID 4486558566, 4 clinicians

Practice addresses (Care Compare)

4403 Harrison Blvd
Suite 4640
Ogden, UT 84403-3304
Phone (801) 387-4850

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
177304-1205UTMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Vicki J Lyons MD PC CurrentSince Mar 25, 2019 Accepting new patients
University Ear Nose and Throat Associates Past Accepting new patients
Granger Medical Specialists LLC Past Accepting new patients
Granger Medical Clinic, PC Specialist PastSince Feb 1, 2005 Accepting new patients

Locations

425 E 5350 S
Ste 110
Ogden, UT 84405
Phone (801) 476-0052

4403 Harrison Blvd
Ste 4640
Ogden, UT 84403
Phone (801) 387-4850

Interoperability endpoints

  • Direct secure messaging: ksy.walker.advancedallergyasthma@aaa.direct.systemedx.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1083608095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 HARRISON BLVD",
            "address_2": "STE 4640",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033304",
            "telephone_number": "801-387-4850",
            "fax_number": "801-387-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 E 3900 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241286",
            "telephone_number": "801-281-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KAY",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-06",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "UT",
            "license": "177304-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.