Christie Wallsmith, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD27140 Issued in OR

Practice address

3808 N Williams Ave
Suite 135
Portland, OR 97227-1467

Phone

(503) 970-2056

Fax

(888) 432-4730

NPI assigned

Aug 29, 2005

Last updated

Oct 11, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• TCH Pediatric Associates, Inc

  dba Texas Children's Pediatric Associates

  • Pediatrics Physician
  • Houston, TX
  • NPI 1225038326
  NPD (past)

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1780677419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 N WILLIAMS AVE",
            "address_2": "SUITE 135",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271467",
            "telephone_number": "503-970-2056",
            "fax_number": "888-432-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 N WILLIAMS AVE",
            "address_2": "SUITE 135",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271467",
            "telephone_number": "503-970-2056",
            "fax_number": "888-432-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLSMITH",
        "first_name": "CHRISTIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-29",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M1772",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD27140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clare Francisco Wallner, M.D.
• Kathryn Wallner, LPC
• Ayanna Z'Kiyah Nneka Walls, LPN
• Bryan Dean Walls, D.O.
• Kirsten Elena Wallskog, PHARMD
• Brittani Wallsten
• Daniel Michael Wallsten, CSWA
• Walmart Inc. (Walmart Pharmacy 10-2552)
• Hannah Marie Walmer
• Latasha Walmer

• Pediatrics Physician in Portland, OR
• Providers in Portland, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.