Individual provider Active NPI

Elizabeth Walker, D.C

  • Chiropractor
  • Missoula, MT
National Provider Identifier
1669831947
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHI-CHI-LIC-3413 Issued in MT
Practice address
235 N 1St St W Ste a
Missoula, MT 59802-3661
Phone
(406) 549-8969
NPI assigned
Feb 16, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHI-CHI-LIC-3413 MT Primary

Addresses

Primary practice location

235 N 1St St W Ste a
Missoula, MT 59802-3661

Mailing address

235 N 1St St W Ste a
Missoula, MT 59802-3661
Phone (406) 549-8969

Other practice location 1

725 W Alder St Ste 7
Missoula, MT 59802-4094
Phone (406) 549-8969

Other practice location 2

330 E Main St
Missoula, MT 59802
Phone (406) 549-8969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221003000674 MT Practitioner - Chiropractic 5193101970 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Primal Practice Chiropractor CurrentSince Aug 1, 2022 Accepting new patients

Locations

235 N 1st St W
Ste A
Missoula, MT 59802
Phone (406) 549-8969

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1669831947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 N 1ST ST W STE A",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598023661",
            "telephone_number": "406-549-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 N 1ST ST W STE A",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598023661",
            "telephone_number": "406-549-8969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 W Alder St Ste 7",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598024094",
            "country_code": "US",
            "telephone_number": "406-549-8969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 E Main St",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "59802",
            "country_code": "US",
            "telephone_number": "406-549-8969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-16",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "CHI-CHI-LIC-3413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.