Individual provider Active NPI

Victoria Flynn Walden, MD

  • Psychiatry Physician
  • Little Rock, AR
National Provider Identifier
1801281837
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
E-12070 Issued in AR
Practice address
10801 Executive Center Dr Ste 207
Little Rock, AR 72211-4302
Phone
(501) 436-3659
Fax
(501) 439-8135
NPI assigned
Apr 6, 2015
Last updated
Aug 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X E-12070 AR Primary

Addresses

Primary practice location

10801 Executive Center Dr Ste 207
Little Rock, AR 72211-4302

Mailing address

10801 Executive Center Dr Ste 207
Little Rock, AR 72211-4302
Phone (501) 436-3659

Other names 1

  • Dr. Victoria A Flynn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190618003709 AR Practitioner - Psychiatry 5597071993 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Arkansas College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10801 Executive Ctr Dr
Suite 207
Little Rock, AR 72211-4302
Phone (501) 436-3659

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Jul 1, 2019 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jul 1, 2019 Accepting new patients
Walden Wellness, PLLC Psychiatry CurrentSince Aug 15, 2024 Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients
WSG Psychiatry Partners PLLC Psychiatry CurrentSince Apr 18, 2023 Accepting new patients

Locations

10801 Executive Center Dr
Ste 207
Little Rock, AR 72211
Phone (501) 436-3659

4220 N Rodney Parham Rd
Little Rock, AR 72212
Phone (501) 223-2224

4220 N Rodney Parham Rd
Ste 300
Little Rock, AR 72212
Phone (501) 278-6111

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
#568
Little Rock, AR 72205
Phone (501) 320-7302

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1801281837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 EXECUTIVE CENTER DR STE 207",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114302",
            "telephone_number": "501-436-3659",
            "fax_number": "501-439-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 EXECUTIVE CENTER DR STE 207",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114302",
            "telephone_number": "501-436-3659",
            "fax_number": "501-439-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDEN",
        "first_name": "VICTORIA",
        "middle_name": "FLYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-06",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E-12070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "FLYNN",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.