Active NPI
Alissa Kristine Walker, LAT, ATC
- Athletic Trainer
- West Allis, WI
National Provider Identifier
1932572641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2075-39
- Practice address
- 11601 W Lincoln Ave
West Allis, WI 53227 - Phone
- (414) 604-3200
- NPI assigned
- Nov 3, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2075-39 | WI | Primary |
Addresses
Primary practice location
11601 W Lincoln Ave
West Allis, WI 53227
Mailing address
14555 W National Ave
New Berlin, WI 53151-4494
Phone (262) 827-2929
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2075-39 | WI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526342400000",
"number": "1932572641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14555 W NATIONAL AVE",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531514494",
"telephone_number": "262-827-2929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11601 W LINCOLN AVE",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "53227",
"telephone_number": "414-604-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "ALISSA",
"middle_name": "KRISTINE",
"name_prefix": "Ms.",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-03",
"last_updated": "2018-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WI",
"license": "2075-39",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Allis, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.