Organization Active NPI

Walking Eagle Mobility Consultants

  • Customized Equipment (DME)
  • Walla Walla, WA
National Provider Identifier
1194456681
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
WALKING EAGLE MOBILITY CONSULTANTS
Practice address
1105 W Poplar St Apt C
Walla Walla, WA 99362-2970
Phone
(509) 386-5935
NPI assigned
Jun 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Authorized official

Name
Lee Cole Walking Eagle, ATPNPI 1952054132
Title
Owner/Atp
Phone
(509) 386-5935

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

1105 W Poplar St Apt C
Walla Walla, WA 99362-2970

Mailing address

27 NE Tremont Dr
College Place, WA 99324-1150
Phone (509) 386-5935

Other names 1

  • Walking Eagle Mobility Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220907003374 WA DME Supplier - Medical Supply Company 1153705348 Practice locations: Walla Walla, WA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Walking Eagle Mobility1105 W Poplar St, Walla Walla, WA 99362-2970(509) 386-5935 Pneumatic Compression Devices and/or Supplies|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchairs (Standard Power)|Wheelchairs (Standard Power Related Accessories)|Wheelchairs (Complex Rehabilitative Manual)|Wheelchairs (Complex Rehab Manual Rel Acces… Accepts assignmentParticipating since Nov 15, 2022

National Provider Directory

National Provider Directory
Tax ID family
Walking Eagle Mobility Consultants2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1105 W Poplar St
Apt C
Walla Walla, WA 99362
Phone (509) 386-5935

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1194456681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 NE TREMONT DR",
            "city": "COLLEGE PLACE",
            "state": "WA",
            "postal_code": "993241150",
            "telephone_number": "509-386-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 W POPLAR ST APT C",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622970",
            "telephone_number": "509-386-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKING EAGLE MOBILITY CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "WALKING EAGLE",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "COLE",
        "authorized_official_title_or_position": "OWNER/ATP",
        "authorized_official_telephone_number": "509-386-5935",
        "authorized_official_credential": "ATP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walking Eagle Mobility",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Walking Eagle Mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walla Walla, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.