Active NPI
Rachel V Walden, M.D.
- Pediatrics Physician
- Soldotna, AK
National Provider Identifier
1548299274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- M2493
- Practice address
- 245 N Binkley St
Suite 101
Soldotna, AK 99669-7500 - Phone
- (907) 714-4111
- NPI assigned
- Jul 3, 2006
- Last updated
- Mar 7, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | M2493 | TX | Primary |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | M2493 | TX |
Addresses
Primary practice location
245 N Binkley St
Suite 101
Soldotna, AK 99669-7500
Mailing address
250 Hospital PL
Soldotna, AK 99669-7559
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1638023 | Medicaid | AK | |
| 1769580-01 | Medicaid | TX | |
| M2493 | Other | TX | STATE MEDICAL LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rwalden635742@ak.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M2493 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Peninsula General Hospital Inc. | Past | Accepting new patients |
Interoperability endpoints
- rwalden635735@ak.providencedirect.org
- rwalden635742@ak.providencedirect.org
Organizations & group practices 1
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.
-
dba Central Peninsula Hospital
- Rural Acute Care Hospital
- Soldotna, AK
- NPI 1528062429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1548299274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 HOSPITAL PL",
"city": "SOLDOTNA",
"state": "AK",
"postal_code": "996697559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 N BINKLEY ST",
"address_2": "SUITE 101",
"city": "SOLDOTNA",
"state": "AK",
"postal_code": "996697500",
"telephone_number": "907-714-4111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDEN",
"first_name": "RACHEL",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2023-03-07",
"certification_date": "2020-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "M2493",
"primary": true
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "TX",
"license": "M2493",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1638023",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1769580-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "M2493",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rwalden635742@ak.providencedirect.org",
"affiliation": "N",
"endpointDescription": "Provider direct messaging address",
"address_1": "245 N Binkley St",
"address_2": "Suite 101",
"city": "Soldotna",
"state": "AK",
"country_code": "US",
"postal_code": "996697500",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Soldotna, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.