NIKKI A WALDEN MD PA (NPI# 1063673879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063673879 |
| Entity Type | Organization |
| Organization Name | NIKKI A WALDEN MD PA |
| Practice Address |
4325 N Josey Ln 300 Carrollton TX 75010-4635 |
| Mailing Address |
Po Box 118383 Carrollton TX 75011-8383 |
| Practice Telephone | 9728209333 |
| Mailing Telephone | 9728209333 |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-06-24 |
| Authorized Official Name | MIKE WALDEN (OFFICE MANAGER) |
| Authorized Official Telephone | 9728209333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | L8999 | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | PARKLAND | 16244 | 01 |
| TX | CLIA | 4501037598 | 01 |
| TX | BLUE CROSS BLUE SHIELD | 0066MH | 01 |
| TX | 173131701 | 05 | |
| TX | CIGNA | 4732959 | 01 |
| Street Address |
4325 N JOSEY LN 300 |
| City | CARROLLTON |
| State | TX |
| Zip Code | 75010-4635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134110844 | Wilbur F Howard Jr. | Obstetrics & Gynecology | 4325 N Josey Ln, Suite 308, Carrollton, TX 75010-4635 | 2005-11-02 |
| 1205393196 | Amy Evan Thimesch | Family Medicine | 4325 N Josey Ln, Carrollton, TX 75010-4635 | 2019-02-27 |
| 1437694049 | Ruth Ryon | Nurse Practitioner | 4325 N Josey Ln, Suite 103, Carrollton, TX 75010-4635 | 2017-01-05 |
| 1558810572 | Chelsea Hancock | Physician Assistant | 4325 N Josey Ln, #105, Carrollton, TX 75010-4635 | 2016-10-03 |
| 1063818441 | Larisa Neretina | Nurse Practitioner | 4325 N Josey Ln, 103, Carrollton, TX 75010-4635 | 2014-11-12 |
| 1831533058 | Jeremy Michael Epstein | Specialist | 4325 N Josey Ln, Plaza IIi, Suite 206, Carrollton, TX 75010 | 2013-04-18 |
| 1215203625 | Trinity North Dallas Neurology, Pllc | Psychiatry & Neurology | 4325 N Josey Ln, Plaza 3, Suite 211, Carrollton, TX 75010-4635 | 2012-03-29 |
| 1629380589 | North Dallas Endocrinology, P.a. | Internal Medicine | 4325 N Josey Ln, Plaza Three, Suite 203, Carrollton, TX 75010-4635 | 2010-07-08 |
| 1326368168 | Najam Khan Mdpa | Clinic/Center | 4325 N Josey Ln, Suite 301, Carrollton, TX 75010-4635 | 2010-06-03 |
| 1184890733 | Chihal Ent Associates Pa | Otolaryngology | 4325 N Josey Ln, Suite 101, Carrollton, TX 75010-4636 | 2008-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043782907 | Timothy C. Pringle Md Pa | Surgery | 4541 N. Josey Lane, Suite 140, Carrollton, TX 75010 | 2018-12-17 |
| 1184106411 | Cindy T Vu | Occupational Therapy Assistant | 1877 Cheyenne, Carrollton, TX 75010 | 2018-09-04 |
| 1639686256 | Little Lantern Hospice LLC | Hospice Care, Community Based | 4541 North Josey Lane, Suite 110-b, Carrollton, TX 75010 | 2018-01-04 |
| 1235681610 | Kahini Shah | Physical Therapist | 1012 W Hebron Pkwy Ste 124, Carrollton, TX 75010 | 2016-11-01 |
| 1881148849 | Wais Azesh | Dentist | 1233 Apache Lake Dr, Carrollton, TX 75010 | 2016-08-08 |
| 1225485055 | Julia Buckelew | Physical Therapist | 4100 Fairway Dr Ste 400, Carrollton, TX 75010 | 2016-05-23 |
| 1811355639 | Fastpass Ucc, Pllc | Clinic/Center | 4228 N Josey Ln Ste 150, Carrollton, TX 75010 | 2016-02-08 |
| 1326404393 | Miaojuan Li | Nurse Practitioner | 4100 Fairway Dr Ste 300, Carrollton, TX 75010 | 2016-01-06 |
| 1912376112 | Envoy Hospice North LLC | Hospice Care, Community Based | 4040 Tx-121, Carrollton, TX 75010 | 2015-09-17 |
| 1932593936 | Lifeway Hospice, LLC | Hospice Care, Community Based | 4040 State Highway 121, Suite 140, Carrollton, TX 75010 | 2015-03-27 |
| Find all providers in zip 75010 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346736998 | Erin D Smith | Specialist | 1628 W Hebron Pkwy Ste 130, Carrollton, TX 75010-6311 | 2018-07-06 |
| 1568997500 | Ad Precision Health Clinic, Pllc | Specialist | 2810 E. Trinity Mills Road, Suite 130, Carrollton, TX 75006 | 2017-04-27 |
| 1750719522 | Inspired Changes Inc. | Specialist | 2030 Statler Dr, Carrollton, TX 75007-5441 | 2013-10-14 |
| 1659690097 | Cancer Center Associates | Specialist | 4325 Josey Lane, Suite 301, Carrollton, TX 75010 | 2010-05-25 |
| 1053453787 | Pinnacle Orthopaedics and Sports Medicine | Specialist | 100 Professional Pl Ste 204, Carrollton, GA 30117-3802 | 2007-02-12 |
| 1972660025 | Robin Carol Abels | Specialist | 1212 Wiltshire Dr, Carrollton, TX 75007-4811 | 2007-01-01 |
| 1285647883 | Karen Inez Avery | Specialist | 2717 N Highway 27, Carrollton, GA 30117-9349 | 2006-08-14 |
| 1073568416 | Anna L Lavedan | Specialist | 1601 W Hebron Parkway, Ste 100, Carrollton, TX 75010 | 2006-05-24 |
| 1336193200 | Jon L Stanford | Specialist | 119 Ambulance Dr # Dt, Suite 202, Carrollton, GA 30117-3857 | 2006-05-22 |
| 1194170654 | Sallie Turner | Specialist | 241 Robert K Wilson Dr, Carrollton, AL 35447-8032 | 2016-05-03 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 75010 |
Please comment or provide details below to improve the information on NIKKI A WALDEN MD PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.