Debora Ester Walder, BA

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Practice address

6809 S Carpenter St
Chicago, IL 60621-1131

Phone

(773) 550-0131

Fax

(773) 778-0018

NPI assigned

Dec 20, 2017

Last updated

Dec 20, 2017By the provider in NPPES

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

Other identifiers 1

Other names 1

• Debora Esther Hudson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513728000000",
    "number": "1427564947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6809 SO.CARPENTER",
            "address_2": "6535 SO.KEDZIE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60621",
            "telephone_number": "773-550-0131",
            "fax_number": "773-778-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6809 S CARPENTER ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606211131",
            "telephone_number": "773-550-0131",
            "fax_number": "773-778-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDER",
        "first_name": "DEBORA",
        "middle_name": "ESTER",
        "name_prefix": "Ms.",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-20",
        "last_updated": "2017-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA NETWORK",
            "identifier": "103442936",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORA",
            "last_name": "HUDSON",
            "middle_name": "ESTHER",
            "credential": "BA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angela Lecia Walden, PHD
• John Dickson Walden
• Sydney L Walden, LCSW
• Tajhshea Walden, MD
• Thomas Walden, DC
• Madeline Jean Walder, PHARMD.
• Kathryn Waldera, OTR/L
• Shannon Walding, LPC
• Rachel Elisabeth Waldinger, MD
• Heather Waldman Cintron, PSY.D.

• Day Training/Habilitation Specialist in Chicago, IL
• Providers in Chicago, IL by specialty
• Day Training/Habilitation Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.