Rochelle Deann Walsh

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1999135422 Issued in MO

Practice address

19401 E US Highway 40
Suite 140
Independence, MO 64055-5450

Phone

(816) 373-6761

NPI assigned

Nov 10, 2006

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

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.

• Aspire Back Pain & Rehab Clinic

  • Physical Therapist
  • Leawood, KS
  • NPI 1376554287
  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1861563231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 SW GOLDEN EAGLE RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824145",
            "telephone_number": "816-525-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19401 E US HIGHWAY 40",
            "address_2": "SUITE 140",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555450",
            "telephone_number": "816-373-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "ROCHELLE",
        "middle_name": "DEANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "1999135422",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "2148",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Walgreen Co
• Moneka Walker
• Rowan Theresa Wall, PT, DPT
• Emma Katherine Walls
• Chris Walter
• Joshua Walter
• Michelle Walton, D.C.
• Kacy Sue Warner, NP
• Elizabeth Marie Warren, RBT

• All providers in Independence, MO
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.