Active NPI
Med 1St Walkin Clinic and Primary Care
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cumberland, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- MED 1ST WALKIN CLINIC AND PRIMARY CARE
- Practice address
- 15 S Centre St
Cumberland, MD 21502-3017 - Phone
- (240) 362-7279
- NPI assigned
- Sep 6, 2022
- Last updated
- Sep 6, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Crystal Walls, FNP
- Title
- Owner
- Phone
- (240) 362-7279
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | Primary | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU |
Addresses
Primary practice location
15 S Centre St
Cumberland, MD 21502-3017
Mailing address
15 S Centre St
Cumberland, MD 21502-3017
Phone (240) 362-7279
National Provider Directory
National Provider Directory- Tax ID family
- Med 1St Walk-in Clinic and Primary Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Cumberland, MD
- NPI 1831838762
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Cumberland, MD
- NPI 1396222998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662422400000",
"number": "1912628256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 S CENTRE ST",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215023017",
"telephone_number": "240-362-7279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 S CENTRE ST",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215023017",
"telephone_number": "240-362-7279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED 1ST WALKIN CLINIC AND PRIMARY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-06",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A",
"authorized_official_last_name": "WALLS",
"authorized_official_first_name": "CRYSTAL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "240-362-7279",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumberland, MD
- Patience McMillan
- Skylynn McMillan
- Donna Jean McTaggart
- Stephanie Lynn McVicker, FNP-C
- Med 1St Walkin Clinic and Primary Care
- Medacute Care LLC
- Erin Louise Meisel, PHARMD
- Memorial Hospital and Medical Center of Cumberland Inc (Memorial Hospital Orthopaedic Physicians)
- Memorial Hospital and Medical Center of Cumberland Inc (Memorial Hospital Physician Group)
- Memorial Hospital and Medical Center of Cumberland, Inc. (WMHS Occupational Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.