Allison Waller

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101266633 Issued in VA

Practice address

3600 S Glebe Rd Ste 150
Arlington, VA 22202-5604

Phone

(703) 924-2100

Fax

(703) 922-6067

NPI assigned

Apr 27, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

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 and National Provider Directory roles.

• Pediatric Associates of Alexandria

  • Pediatrics Physician
  • Alexandria, VA
  • NPI 1447358486
  NPD (past)

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1871970046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 S GLEBE RD STE 150",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222025604",
            "telephone_number": "703-924-2100",
            "fax_number": "703-922-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 S GLEBE RD STE 150",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222025604",
            "telephone_number": "703-924-2100",
            "fax_number": "703-922-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLER",
        "first_name": "ALLISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-27",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101266633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Walker, PT
• Wesley Robert Walker, MD
• Kristin Marie Wallace, OTR/L
• Nyjah Amanda Wallace
• Corey J Wallach, MD
• Christopher Michael Walsh, MD
• India Walsh, LCSW
• Maggie Walsh, D.O.
• Marvin S Walsh, M.D.
• Sarah Walsh

• Pediatrics Physician in Arlington, VA
• Providers in Arlington, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.