Stephanie Prater Walton, M.D.

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

License

28072 Issued in KY

Practice address

14607 Woodlake Trce
Louisville, KY 40245-5134

Phone

(502) 419-7136

NPI assigned

Feb 19, 2014

Sex

Female

Sole proprietor

Yes

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

Enrolled in KY

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

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1194140772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14607 WOODLAKE TRCE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402455134",
            "telephone_number": "502-419-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14607 WOODLAKE TRCE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402455134",
            "telephone_number": "502-419-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "STEPHANIE",
        "middle_name": "PRATER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "KY",
            "license": "28072",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "KY",
            "license": "28072",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna S Walton, RN
• Elizabeth Walton
• Gregory Walton, MD
• Nicholas Carr Walton, MED, BCBA, LBA
• Paige M Walton, APRN
• Katie Elizabeth Waltrip, DNP
• Kimberly Jean Waltrip, L.C.S.W.
• Jeffrey L Wampler, MD
• Margaret Marie Wampler, OTR/L
• Theodore M Wandzilak, MD

• Addiction Medicine (Internal Medicine) Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Addiction Medicine (Internal Medicine) Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.