Individual provider Active NPI

Linda Lee Walby, MD

  • Physical Medicine & Rehabilitation Physician
  • Kennewick, WA
National Provider Identifier
1245213396
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD60405789 Issued in WA
Practice address
4309 W 27TH PL Ste B302
Kennewick, WA 99338-2904
Phone
(509) 591-4427
Fax
(509) 820-3160
NPI assigned
Nov 22, 2005
Last updated
Aug 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 10678A WY
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X MD60405789 WA Primary

Addresses

Primary practice location

4309 W 27TH PL Ste B302
Kennewick, WA 99338-2904

Mailing address

4309 W 27TH PL Ste B302
Kennewick, WA 99338-2904
Phone (509) 591-4427

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address linda.walby@threeriverspmr.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10678AWYMDPhysical Medicine & Rehabilitation Physician

Interoperability endpoints

  • Direct secure messaging: linda.walby@threeriverspmr.com
  • Direct secure messaging: lwalby@yourcarecommunity.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1245213396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 W 27TH PL STE B302",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993382904",
            "telephone_number": "509-591-4427",
            "fax_number": "509-820-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 W 27TH PL STE B302",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993382904",
            "telephone_number": "509-591-4427",
            "fax_number": "509-820-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALBY",
        "first_name": "LINDA",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WY",
            "license": "10678A",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "MD60405789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "linda.walby@threeriverspmr.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4309 W 27th Pl Ste B302",
            "city": "Kennewick",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993382904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.