Walter Reed Army Medical Center

Primary specialty

Military HospitalTaxonomy code 286500000X

License

28650000X Issued in DC

Legal business name

WALTER REED ARMY MEDICAL CENTER

Practice address

2901 S. Leisure World Blvd. a-217
Silver Spring, MD 20906

Phone

(202) 782-6224

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Insook Bae, RPH

Title

Staff Pharmacist

Phone

(202) 782-6224

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619011749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 S. LEISURE WORLD BLVD. A-217",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 S. LEISURE WORLD BLVD. A-217",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20906",
            "telephone_number": "202-782-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER REED ARMY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAE",
        "authorized_official_first_name": "INSOOK",
        "authorized_official_title_or_position": "STAFF PHARMACIST",
        "authorized_official_telephone_number": "202-782-6224",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "DC",
            "license": "28650000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC.REG.CERT.NO",
            "identifier": "09917",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC.REG.CERT.NO",
            "identifier": "32935",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WALTERREEDARMYMEDICALCENT",
            "identifier": "BP3767437",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Wallen, M.S.W.
• Kathy J Wallens, LCPC
• Kayla Wallington
• Thomas Emmett Walsh, M.D.
• Mary Catherine Walshe, M. AC., L. AC.
• Cassidy Walter
• Debra D Walter, LCSW
• Sacha Delisa Walters Cargill, DDS
• Erin Courtney Walters, MD
• Dawn Marie Walton, MD

• Military Hospital in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Military Hospital in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.