Karen Alaine Wallis

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2717 S Glencoe St
Denver, CO 80222-6848

Phone

(808) 365-2636

NPI assigned

Oct 22, 2020

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 names 1

• Karen Alaine Howell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1487253274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 S GLENCOE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226848",
            "telephone_number": "808-365-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 S GLENCOE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226848",
            "telephone_number": "808-365-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLIS",
        "first_name": "KAREN",
        "middle_name": "ALAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "HOWELL",
            "middle_name": "ALAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christina Walley
• Elizabeth Taylor Walley, PT, DPT, OCS, CSCS
• Kristi Wallin, OTR/L
• Matthew P Wallington, LPC
• Farrah R Wallis, RDH
• Megan Jean Wallis, PA-C
• Mlou F Wallis, M.D.
• Richard David Wallis, PMHNP
• Andrew Thomas Walls, MA, LPC
• Taylor Rose Walls

• Behavior Technician in Denver, CO
• Providers in Denver, CO by specialty
• Behavior Technician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.