Kimberly J Walker, SACIT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

16230-130 Issued in WI

Practice address

2000 N Oxford Ave
Box 4
Eau Claire, WI 54703-5184

Phone

(171) 583-4107

Fax

(715) 834-1218

NPI assigned

Jul 26, 2011

Last updated

Sep 13, 2011By 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

Practice roles

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.

• Eau Claire Metro Treatment Center

  • Case Management Agency
  • Eau Claire, WI
  • NPI 1427290402
  NPD (past)
• Eau Claire Metro Treatment Center

  • Case Management Agency
  • Eau Claire, WI
  • NPI 1992939383
  NPD (past)

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1154609022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N OXFORD AVE",
            "address_2": "BOX 4",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035184",
            "telephone_number": "171-583-4107",
            "fax_number": "715-834-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N OXFORD AVE",
            "address_2": "BOX 4",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035184",
            "telephone_number": "171-583-4107",
            "fax_number": "715-834-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KIMBERLY",
        "middle_name": "J",
        "credential": "SACIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16230-130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #01937)
• Walgreen Co (Walgreens #03497)
• Alyssa Grace Walker, MSW
• David Brent Walker
• Joy P Walker, MD
• Melissa Jo Walkowski, LCSW, SAC-IT
• Erin Wall, LCSW
• Sara Naomi Wallace -Tomczak, SACIT, MT, IDP-AT
• Makaila Wallin, PHARMD
• Cynthia Ann Walsh, COTA

• Addiction (Substance Use Disorder) Counselor in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.