Individual provider Active NPI

Betsy Gail Walker, LMSW

  • Social Worker
  • Idaho Falls, ID
National Provider Identifier
1639327372
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LMSW-26754 Issued in ID
Practice address
477 Shoup Ave
Suite 105
Idaho Falls, ID 83402-3658
Phone
(208) 522-1914
Fax
(208) 522-1956
NPI assigned
Sep 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW-26754 ID Primary

Addresses

Primary practice location

477 Shoup Ave
Suite 105
Idaho Falls, ID 83402-3658

Mailing address

850 Anne St
Apt. 1
Rexburg, ID 83440-5198
Phone (208) 403-5054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMSW-26754IDMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1220659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1639327372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 ANNE ST",
            "address_2": "APT. 1",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834405198",
            "telephone_number": "208-403-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 SHOUP AVE",
            "address_2": "SUITE 105",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023658",
            "telephone_number": "208-522-1914",
            "fax_number": "208-522-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "BETSY",
        "middle_name": "GAIL",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-06",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-26754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.