Kate Walsh, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA14873 Issued in TX

Practice address

9093B Lawhon St
Del Rio, TX 78840-2711

Phone

(716) 260-7294

NPI assigned

May 23, 2021

Last updated

Nov 27, 2022By 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 2

Addresses

Other names 1

• Kate Wolf Former name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

• Connell & Associates LLC

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  • Killeen, TX
  • NPI 1821424193
  Medicare reassignment
• Oria, LLC

  • Group Psychotherapy Psychologist
  • Killeen, TX
  • NPI 1538753827
  Medicare reassignment

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

{
    "created_epoch": "1621728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669507200000",
    "number": "1487229456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9093B LAWHON ST",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788402711",
            "telephone_number": "716-260-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9093B LAWHON ST",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788402711",
            "telephone_number": "716-260-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "KATE",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-23",
        "last_updated": "2022-11-27",
        "certification_date": "2022-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "WOLF",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Visiting Nurses of del Rio, Inc
• Jimmy Vu
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0447)
• Wal-Mart Stores Texas, LP (Vision Center 30-0447)
• Walgreen Co (Walgreens #21320)
• Glen Edward Wiese, R PH
• Christian Wirba
• Stephanie Wolfe, FNP
• Jessica Lynn Yanez
• Nina Geraldine G Yu, PT

• Physician Assistant in Del Rio, TX
• Providers in Del Rio, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.