Active NPI
Kristen Ann Walters, D.C.
- Rehabilitation Chiropractor
- Richmond, VA
National Provider Identifier
1497930564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 0104557001
- Practice address
- 7001 Forest Ave
Suite 302
Richmond, VA 23230-1726 - Phone
- (281) 386-1693
- Fax
- (866) 313-3397
- NPI assigned
- Jan 8, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 0104557001 | VA | Primary |
Addresses
Primary practice location
7001 Forest Ave
Suite 302
Richmond, VA 23230-1726
Mailing address
911 Central Pkwy N
Suite 300
San Antonio, TX 78232-5052
Phone (800) 404-6050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081112000451 | PA | Practitioner - Chiropractic | 8224197744 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
109 2ND Ave
Collegeville, PA 19426-2608
Phone (610) 489-8800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104557001 | VA | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic and Movement Studio LLC | Current | Accepting new patients |
Interoperability endpoints
- spinalcare.kristenwalters@138844.advancedmd-direct.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Collegeville, PA
- NPI 1124419767
PA
-
- Chiropractor
- Miami, FL
- NPI 1942062674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375833600000",
"number": "1497930564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 CENTRAL PKWY N",
"address_2": "SUITE 300",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782325052",
"telephone_number": "800-404-6050",
"fax_number": "866-313-3397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7001 FOREST AVE",
"address_2": "SUITE 302",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232301726",
"telephone_number": "281-386-1693",
"fax_number": "866-313-3397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTERS",
"first_name": "KRISTEN",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-08",
"last_updated": "2013-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "VA",
"license": "0104557001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.