Racquel Walton

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

License

000000000 Issued in OH

Practice address

4896 Sourwood LN
Canal Winchester, OH 43110-7030

Phone

(614) 446-0311

NPI assigned

Jul 13, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689984000000",
    "number": "1184303406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4896 SOURWOOD LN",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431107030",
            "telephone_number": "614-446-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4896 SOURWOOD LN",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431107030",
            "telephone_number": "614-446-0311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4896 Sourwood Ln",
            "address_purpose": "LOCATION",
            "city": "Canal Winchester",
            "state": "OH",
            "postal_code": "431107030",
            "country_code": "US",
            "telephone_number": "614-446-0311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTON",
        "first_name": "RACQUEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-22",
        "certification_date": "2023-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "OH",
            "license": "000000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Walgreen Co.
• Nayesha Walker-Ridenour
• Taiwannika Walker, LISW-S
• Chevalle Wall, LPN
• Michelle Tracy Wardell, M.A., CCC-SLP
• Chara Washington
• Donta R Washington
• Reva Washington
• Tina Nanette Washington

• Phlebology Physician in Canal Winchester, OH
• Providers in Canal Winchester, OH by specialty
• Phlebology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2023; 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.