Kathleen Marie Walter, REGISTERED NURSE

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

RN00069666 Issued in WA

Practice address

12421 E 14TH Ave
Spokane Valley, WA 99216-2347

Phone

(509) 496-5454

NPI assigned

Jan 17, 2025

Last updated

Jan 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1982415964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12310 E MIRABEAU PKWY STE 500",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162259",
            "telephone_number": "509-473-4900",
            "fax_number": "509-473-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12421 E 14TH AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162347",
            "telephone_number": "509-496-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "WA",
            "license": "RN00069666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylie Noelle Wallace
• Jill Michelle Walling, LMFT
• Walmart Inc. (WalMart Pharmacy 10-5883)
• Walmart Inc. (Walmart Pharmacy 10-2539)
• Breanna Walter
• Laveena Lynne Walters
• Tamera Walters
• Madison Walther
• Gary T Wandschneider, MD
• Brian Lee Ward

• Case Management Registered Nurse in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Case Management Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.