Individual provider Active NPI

Thomas Franklin Walker, AT EMT

  • Athletic Trainer
  • Renton, WA
National Provider Identifier
1902818057
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
A160047329 Issued in WA
Practice address
1101 Hoquiam Ave NE
Renton, WA 98059-4314
Phone
(425) 204-4339
Fax
(425) 204-4279
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X A160047329 WA Primary
Basic Emergency Medical Technician 146N00000X 0101189 WA

Addresses

Primary practice location

1101 Hoquiam Ave NE
Renton, WA 98059-4314

Mailing address

1101 Hoquiam Ave NE
Renton, WA 98059-4314
Phone (425) 204-4339

Other names 1

  • Tom F Walker Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Emergency Medical Technician

State licenses

LicenseStateTypeSpecialty
0101189WAMDBasic Emergency Medical Technician
A160047329WAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1902818057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 HOQUIAM AVE NE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980594314",
            "telephone_number": "425-204-4339",
            "fax_number": "425-204-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 HOQUIAM AVE NE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980594314",
            "telephone_number": "425-204-4339",
            "fax_number": "425-204-4279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "THOMAS",
        "middle_name": "FRANKLIN",
        "credential": "AT EMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WA",
            "license": "A160047329",
            "primary": true
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "WA",
            "license": "0101189",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOM",
            "last_name": "WALKER",
            "middle_name": "F",
            "credential": "AT EMT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.