Kelly Elisabeth Walker, RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

26NO12344300 Issued in NJ

Practice address

1395 Chews Landing Rd
Laurel Springs, NJ 08021-2760

Phone

(856) 282-2050

Fax

(856) 352-6713

NPI assigned

Jan 30, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Kelly Elisabeth Thompson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Victory Bay Recovery Center, LLC

  • Substance Abuse Rehabilitation Facility
  • Laurel Springs, NJ
  • NPI 1700328283
  NPD (past)

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1316185259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 CHEWS LANDING RD",
            "city": "LAUREL SPRINGS",
            "state": "NJ",
            "postal_code": "080212760",
            "telephone_number": "856-282-2050",
            "fax_number": "856-352-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 CHEWS LANDING RD",
            "city": "LAUREL SPRINGS",
            "state": "NJ",
            "postal_code": "080212760",
            "telephone_number": "856-282-2050",
            "fax_number": "856-352-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KELLY",
        "middle_name": "ELISABETH",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-30",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NJ",
            "license": "26NO12344300",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "26NO12344300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "THOMPSON",
            "middle_name": "ELISABETH",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Richard Denis Vecsi, D.D.S.
• Kim Mabel Vernon
• Victory Bay Recovery Center, LLC
• Kathleen Vitelliviscusi, RT
• Nguyet Vu-Nguyen, D.D.S
• Sharon A. Watson, PHARMD
• Heather Wilson, LCSW, LCADC, CCTP
• Que-CHI Vuong Wong, M.D.
• Poonam Yadav, DMD

• Addiction (Substance Use Disorder) Registered Nurse in Laurel Springs, NJ
• Providers in Laurel Springs, NJ by specialty
• Addiction (Substance Use Disorder) Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.