Active NPI
Chris C Walvik, R.N.
- Registered Nurse
- Holcombe, WI
National Provider Identifier
1649454141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 132583-30
- Practice address
- 28537 263 St
Holcombe, WI 54745-0233 - Phone
- (715) 577-1086
- NPI assigned
- Dec 20, 2007
- Last updated
- Dec 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 132583-30 | WI | Primary |
Addresses
Primary practice location
28537 263 St
Holcombe, WI 54745-0233
Mailing address
PO Box 233
Holcombe, WI 54745-0233
Phone (715) 577-1086
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38325100 | Medicaid | WI |
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 132583-30 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198108800000",
"number": "1649454141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 233",
"city": "HOLCOMBE",
"state": "WI",
"postal_code": "547450233",
"telephone_number": "715-577-1086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28537 263 ST",
"city": "HOLCOMBE",
"state": "WI",
"postal_code": "547450233",
"telephone_number": "715-577-1086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALVIK",
"first_name": "CHRIS",
"middle_name": "C",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-20",
"last_updated": "2007-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "132583-30",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38325100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Holcombe, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.