Active NPI
Angela Lynn Walter, D.C.
- Chiropractor
- Blairstown, IA
National Provider Identifier
1588768766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 06726
- Practice address
- 105 1/2 Locust St
Suite B
Blairstown, IA 52209 - Phone
- (319) 454-6455
- Fax
- (319) 454-0091
- NPI assigned
- Sep 11, 2006
- Last updated
- Sep 10, 2019
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 06726 | IA | Primary |
Addresses
Primary practice location
105 1/2 Locust St
Suite B
Blairstown, IA 52209
Mailing address
PO Box 267
Blairstown, IA 52209-0267
Phone (319) 454-6455
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 244831 | Other | IA | MIDLAND'S CHOICE |
| 208928197 | Other | IA | UNITED HEALTHCARE |
| 36995 | Other | IA | WELLMARK |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06726 | IA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568073600000",
"number": "1588768766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 267",
"city": "BLAIRSTOWN",
"state": "IA",
"postal_code": "522090267",
"telephone_number": "319-454-6455",
"fax_number": "319-454-0091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 1/2 LOCUST ST",
"address_2": "SUITE B",
"city": "BLAIRSTOWN",
"state": "IA",
"postal_code": "52209",
"telephone_number": "319-454-6455",
"fax_number": "319-454-0091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTER",
"first_name": "ANGELA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-11",
"last_updated": "2019-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "06726",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLAND'S CHOICE",
"identifier": "244831",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "208928197",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "36995",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Blairstown, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.