Kelley Denise Walker, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD0000021459 Issued in TN

Practice address

10241 Kingston Pike
Suite 1 and 2
Knoxville, TN 37922-3240

Phone

(865) 691-1165

Fax

(865) 690-6042

NPI assigned

Sep 7, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 28, 2013 through Mar 28, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Center for Family Psychiatry PC

  • Psychiatry Physician
  • Knoxville, TN
  • NPI 1679758312
  NPD (past)
• Focus Physiotherapy

  • Physical Therapist
  • Knoxville, TN
  • NPI 1275638611
  NPD (past)
• TMS of East Tennessee PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Knoxville, TN
  • NPI 1033752597
  NPD (past)

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1730173790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10241 KINGSTON PIKE",
            "address_2": "SUITE 1 AND 2",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223240",
            "telephone_number": "865-691-1165",
            "fax_number": "865-690-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10241 KINGSTON PIKE",
            "address_2": "SUITE 1 AND 2",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223240",
            "telephone_number": "865-691-1165",
            "fax_number": "865-690-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KELLEY",
        "middle_name": "DENISE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "TN",
            "license": "MD0000021459",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "MD0000021459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Walker, APRN
• Jacqueline Michelle Walker
• Kaayindai Walker
• Kathryn A Walker, CRNA
• Kellen Abigail Walker
• Kimberly Walker
• Kimberly Dawn Walker, LMSW
• Mary Amanda Walker
• Michael David Walker
• Michelle Walker

• Psychiatry Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.