Walden Wellness, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

WALDEN WELLNESS, PLLC

Practice address

10801 Executive Center Dr
Little Rock, AR 72211-4353

Phone

(501) 463-3659

Fax

(501) 439-8135

NPI assigned

Jul 26, 2024

Last updated

Jul 28, 2024By 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

Dr. Victoria Flynn Walden, MDNPI 1801281837

Title

Owner

Phone

(501) 436-3659

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Victoria Flynn Walden, MD

  • Psychiatry Physician
  • Little Rock, AR
  • NPI 1801281837
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722124800000",
    "number": "1487482758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 N POLK ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722051732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 EXECUTIVE CENTER DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114353",
            "telephone_number": "501-463-3659",
            "fax_number": "501-439-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALDEN WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-28",
        "certification_date": "2024-07-28",
        "status": "A",
        "authorized_official_last_name": "WALDEN",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "FLYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-436-3659",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores Inc (Walmart Pharmacy 10-5666)
• Wal-Mart Stores Inc (Wal-Mart Vision Center 30-5706)
• Wal-Mart Stores, Inc. (Vision Center 30-0124)
• Wal-Mart Stores, Inc. (Vision Center 30-5244)
• Wal-Mart Stores, Inc. (Wal-Mart Vision Center 30-0126)
• Shane Walden
• Victoria Flynn Walden, MD
• Maegan Waldrip, SLP
• Michael Waldron, DNP-A, CRNA
• Walgreen Co (Walgreens #03412)

• Psychiatry Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Psychiatry Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.