Andrea Walker, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

61213352 Issued in WA

Practice address

13014 5TH St NE
Lake Stevens, WA 98258-5401

Phone

(901) 481-8409

NPI assigned

Jun 29, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1609508423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13014 5TH ST NE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982585401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13014 5TH ST NE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982585401",
            "telephone_number": "901-481-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ANDREA",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "32478",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "61213352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@mvfamilydds.com",
            "affiliation": "Y",
            "affiliationName": "Mountain View Family Dentistry",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "17432 SR 9 Ste 202",
            "city": "Snohomish",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982968451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anupama Varma Vijay, MD
• Richard Andree Villanueva Celestino, INTERPRETER
• Janett J Villanueva
• Thu-Thuy Vo, O.D.
• Walgreen Co
• Walsh Chiropractic PLLC
• Daniel Peter Walsh, DC
• Jennifer Walter, LMHC, SUDP
• Kayla Wartinger, PT, DPT
• Washington CVS Pharmacy LLC

• Dental Hygienist in Lake Stevens, WA
• Providers in Lake Stevens, WA by specialty
• Dental Hygienist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.