Individual provider Active NPI

Yvonne Wylie Walston, D.O.M.

  • Acupuncturist
  • Albuquerque, NM
National Provider Identifier
1730514977
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1114 Issued in NM
Practice address
2900 Louisiana Blvd NE
North BLDG Ste B3
Albuquerque, NM 87110-3532
Phone
(505) 604-5593
NPI assigned
Sep 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1114 NM Primary

Addresses

Primary practice location

2900 Louisiana Blvd NE
North BLDG Ste B3
Albuquerque, NM 87110-3532

Mailing address

2817 Espanola St NE
Albuquerque, NM 87110-3522
Phone (505) 604-5593

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

State licenses

LicenseStateTypeSpecialty
1114NMMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Healing Arts LLC Acupuncturist Past Accepting new patients

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": "1378425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1730514977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 ESPANOLA ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103522",
            "telephone_number": "505-604-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 LOUISIANA BLVD NE",
            "address_2": "NORTH BLDG STE B3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103532",
            "telephone_number": "505-604-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSTON",
        "first_name": "YVONNE",
        "middle_name": "WYLIE",
        "name_prefix": "Dr.",
        "credential": "D.O.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-06",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "1114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.