Katherine Lee Walczyk, NP

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

78800601 Issued in NY

Practice address

3900 N Buffalo St
Orchard Park, NY 14127-1842

Phone

(716) 656-4804

NPI assigned

Nov 3, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1740945864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9639 VERMONT HILL RD",
            "city": "HOLLAND",
            "state": "NY",
            "postal_code": "140809758",
            "telephone_number": "716-479-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 N BUFFALO ST",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271842",
            "telephone_number": "716-656-4804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Hunter Ln",
            "address_purpose": "LOCATION",
            "city": "Camp Hill",
            "state": "PA",
            "postal_code": "170112400",
            "country_code": "US",
            "telephone_number": "800-748-3243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALCZYK",
        "first_name": "KATHERINE",
        "middle_name": "LEE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "78800601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "?",
            "affiliation": "N",
            "endpointDescription": "rite aid",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "30 Hunter Ln",
            "city": "Camp Hill",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170112400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeremy Voorhees
• Kathryn Ann Wagner, MS, OTR
• Stephanie Wagner
• Colleen Wahl, PTA
• Amanda L Walczak, RPA
• Walgreen Co
• Kristi Walh, P.T.
• Tiffany R Walker
• Julie A Walters, RPA-C
• Paul J Walters, RPH

• General Practice Registered Nurse in Orchard Park, NY
• Providers in Orchard Park, NY by specialty
• General Practice Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.