Yajaira Waltermire, SUDPT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CO61145287 Issued in WA

Practice address

1313 N 13TH Ave
Walla Walla, WA 99362-8817

Phone

(509) 525-3610

NPI assigned

Jan 27, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1699428953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 N 13TH AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993628817",
            "telephone_number": "509-525-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 N 13TH AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993628817",
            "telephone_number": "509-525-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERMIRE",
        "first_name": "YAJAIRA",
        "credential": "SUDPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO61145287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2077844",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walla Walla Senior Citizens Center Inc
• Walla Walla Therapy LLC
• Walla Walla Vamc
• Walla Walla Vamc
• Cynthia Wallace, LICSW
• Alvern Albert Walters Jr., D.PH.
• Timothy Wang, LMT
• Lauren Katriona Wardall, PHARMD
• George Robert Waring, MD
• Patricia Ann Waring, MD

• Addiction (Substance Use Disorder) Counselor in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.