Elizabeth Kaitlin Walker, DO
Individual provider Active NPI Sports Medicine (Family Medicine) Physician · Tremonton, UT
NPI 1952988560 · NPPES record last updated Jan 20, 2026
Key facts
- NPI
- 1952988560
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Medicine (Family Medicine) Physician 207QS0010X
- License
- 14235289-1204 (UT)
- Practice address
- 935 N 1000 W
Tremonton, UT 84337-9356 - Phone
- (435) 207-4800
- NPI assigned
- Mar 28, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Sports Medicine
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
905 N 1000
Tremonton, UT 84337-9356
Phone (435) 207-4720
Hospital & facility affiliations
- Bear River Valley Hospital
- Intermountain Health Logan Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.06 of 100
- Quality
- 89.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250829001898 | UT | Practitioner - Sports Medicine |
3779983473 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14235289-1204 | UT | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current |
Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current |
Accepting new patients | |
| Ihc Health Services Inc | Past | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
1350 N 500 E
North Logan, UT 84341
Phone (435) 716-2800
905 N 1000 W
Tremonton, UT 84337
Phone (435) 207-4500
935 N 1000 W
Tremonton, UT 84337
Phone (435) 207-4800
905 N 1000 W
#1
Tremonton, UT 84337
1300 SE Cardinal Ct
Ste 190
Vancouver, WA 98683
Phone (360) 448-4479
Interoperability endpoints
- elizabeth.walker@hca6.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 14235289-1204 | UT | Yes |
| Family Medicine Physician | 207Q00000X | 14235289-1204 | UT |
Addresses
Primary practice location
935 N 1000 W
Tremonton, UT 84337-9356
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Other practice location 1
1350 N 500 E
Logan, UT 84341-2400
Phone (435) 716-1980
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark LLC/ Office Ally |
Other providers in Tremonton, UT
- Jennifer Thompson
- Tremonton City
- Tremonton Community Pharmacy Inc
- U & I Home Medical
- Jennifer A Uyematsu
- Emileigh Samantha Wendel
- Bryan David Whetton
- White Dental, PLLC
- Gay Lyn White
- Jared Russell White
All providers in Tremonton, UT · Sports Medicine (Family Medicine) Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.