Active NPI
Kristina K Walden, AUD
- Audiologist
- Knoxville, TN
National Provider Identifier
1265766828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 51767
- Practice address
- 2100 W Clinch Ave
Suite 410
Knoxville, TN 37916-2219 - Phone
- (865) 521-6005
- Fax
- (865) 521-6088
- NPI assigned
- Sep 29, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 51767 | TX | Primary |
Addresses
Primary practice location
2100 W Clinch Ave
Suite 410
Knoxville, TN 37916-2219
Mailing address
2100 W Clinch Ave
Suite 410
Knoxville, TN 37916-2219
Phone (865) 521-6005
Other names 1
- Kristina Keller
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51767 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428969600000",
"number": "1265766828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 W CLINCH AVE",
"address_2": "SUITE 410",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379162219",
"telephone_number": "865-521-6005",
"fax_number": "865-521-6088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 W CLINCH AVE",
"address_2": "SUITE 410",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379162219",
"telephone_number": "865-521-6005",
"fax_number": "865-521-6088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDEN",
"first_name": "KRISTINA",
"middle_name": "K",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-29",
"last_updated": "2015-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "51767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTINA",
"last_name": "KELLER",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.