Individual provider Active NPI

Andrea Elizabeth Walden, M.S.

  • Speech-Language Pathologist
  • Belvidere, NJ
National Provider Identifier
1629681044
Registry record updated Aug 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS01152100 Issued in NJ
Practice address
315 2ND St Unit a
Belvidere, NJ 07823-1517
Phone
(908) 458-5242
NPI assigned
Aug 25, 2020
Last updated
Aug 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 41YS01152100 NJ Primary

Addresses

Primary practice location

315 2ND St Unit a
Belvidere, NJ 07823-1517

Mailing address

315 2ND St Unit a
Belvidere, NJ 07823-1517
Phone (908) 458-5242

Other practice location 1

641 President St Ste 207
Brooklyn, NY 11215-1186
Phone (347) 268-5979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3 Meadow Lark CT
Flemington, NJ 08822-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
41YS01152100NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Koalabee Speech and Learning LLC Speech-Language Pathologist CurrentSince Jun 1, 2026 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723334400000",
    "number": "1629681044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 2ND ST UNIT A",
            "city": "BELVIDERE",
            "state": "NJ",
            "postal_code": "078231517",
            "telephone_number": "908-458-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 2ND ST UNIT A",
            "city": "BELVIDERE",
            "state": "NJ",
            "postal_code": "078231517",
            "telephone_number": "908-458-5242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "641 President St Ste 207",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112151186",
            "country_code": "US",
            "telephone_number": "347-268-5979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALDEN",
        "first_name": "ANDREA",
        "middle_name": "ELIZABETH",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2024-08-11",
        "certification_date": "2024-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01152100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belvidere, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.