Kelli R Walker, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

2004023400 Issued in MO

Practice address

1628 Oklahoma Ave
Trenton, MO 64683-2565

Phone

(660) 359-4600

Fax

(660) 359-4286

NPI assigned

Feb 3, 2011

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296691200000",
    "number": "1265738595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E LAHARPE ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635014520",
            "telephone_number": "660-665-1962",
            "fax_number": "660-665-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 OKLAHOMA AVE",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646832565",
            "telephone_number": "660-359-4600",
            "fax_number": "660-359-4286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KELLI",
        "middle_name": "R",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2004023400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raven Anne Tranbarger, LCSW
• Trenton R-IX Schools
• Triumph Therapies LLC
• Katherine Lee Tudeen, PLPC
• Madison Lynn Vandyke, LMSW
• Brandy Wedlock
• Jennifer Westcott, LPN
• Crystal Iola Whitaker, D.C.
• Damon Max Whitaker, D.C.
• Jerry David Whitaker, D.D.S.

• Registered Nurse in Trenton, MO
• Providers in Trenton, MO by specialty
• Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.