Active NPI
Kristopher L. Walton & Associates, LLC
- Clinical Social Worker
- Idaho Falls, ID
National Provider Identifier
1982040135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW 1311
- Legal business name
- KRISTOPHER L. WALTON & ASSOCIATES, LLC
- Practice address
- 2265 Teton PLZ
Idaho Falls, ID 83404-6486 - Phone
- (208) 403-0135
- NPI assigned
- May 15, 2013
- 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
- Mr. Kristopher Leon Walton
- Title
- Owner/President
- Phone
- (208) 403-0135
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW 1311 | ID | Primary |
Addresses
Primary practice location
2265 Teton PLZ
Idaho Falls, ID 83404-6486
Mailing address
2265 Teton PLZ
Idaho Falls, ID 83404-6486
Phone (208) 403-0135
National Provider Directory
National Provider DirectoryLocations
2265 Teton Plz
Idaho Falls, ID 83404
Phone (208) 403-0135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1368576000000",
"number": "1982040135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2265 TETON PLZ",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834046486",
"telephone_number": "208-403-0135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2265 TETON PLZ",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834046486",
"telephone_number": "208-403-0135"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRISTOPHER L. WALTON & ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-15",
"last_updated": "2013-05-15",
"status": "A",
"authorized_official_last_name": "WALTON",
"authorized_official_first_name": "KRISTOPHER",
"authorized_official_middle_name": "LEON",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "208-403-0135",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LCSW 1311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.