Active NPI
Sandra Clement Walker, MD
- Psychiatry Physician
- Seattle, WA
National Provider Identifier
1992887764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD00032855
- Practice address
- 1120 Cherry Street
Suite 240
Seattle, WA 98104-2023 - Phone
- (206) 624-0296
- Fax
- (206) 624-1399
- NPI assigned
- Oct 20, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD00032855 | WA | Primary |
Addresses
Primary practice location
1120 Cherry Street
Suite 240
Seattle, WA 98104-2023
Mailing address
1120 Cherry Street
Suite 240
Seattle, WA 98104-2023
Phone (206) 624-0296
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114594 | Other | WA | DOLI |
| 1101526 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2015 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992887764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 CHERRY STREET",
"address_2": "SUITE 240",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042023",
"telephone_number": "206-624-0296",
"fax_number": "206-624-1399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 CHERRY STREET",
"address_2": "SUITE 240",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042023",
"telephone_number": "206-624-0296",
"fax_number": "206-624-1399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "SANDRA",
"middle_name": "CLEMENT",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD00032855",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOLI",
"identifier": "114594",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1101526",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.