Walk in Clinic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

RN214125 Issued in OH

Legal business name

WALK IN CLINIC LLC

Practice address

207 W High St
Mount Vernon, OH 43050-2427

Phone

(740) 392-0911

NPI assigned

Apr 8, 2011

Last updated

Oct 18, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Phyllis Ann Sim, MSN

Title

CNP

Phone

(740) 397-2655

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1356631535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W HIGH ST",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430502427",
            "telephone_number": "740-392-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W HIGH ST",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430502427",
            "telephone_number": "740-392-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALK IN CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-08",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "SIM",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CNP",
        "authorized_official_telephone_number": "740-397-2655",
        "authorized_official_credential": "MSN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OH",
            "license": "RN214125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3104269",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Waggoner, CDCA
• Jamie Michelle Waite, LPN
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2149)
• Wal-Mart Stores East, LP (Vision Center 30-2149)
• Marissa Lynne Walaszek, PA-C
• Harlow H Walker, LPC
• Alexander L Wallner, MD
• Heather Nicole Walton, APRN-CNP, FNP-BC
• Chelsie R Ward
• Kelly E Warkentin, MHA, LPC

• Clinic/Center in Mount Vernon, OH
• Providers in Mount Vernon, OH by specialty
• Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.