MR. SAMUEL R WALKER


Address: 675 Wyoming Ave, Kingston, PA 18704-3831
Phone: 5702884205

MR. SAMUEL R WALKER (NPI# 1073099313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073099313
Entity Type Individual
Full Name MR. SAMUEL R WALKER
Credential RD
Practice Address 675 Wyoming Ave
Kingston
PA 18704-3831
Mailing Address 497 N Abington Rd
Waverly Township
PA 18411-2302
Practice Telephone 5702884205
Mailing Telephone 5705878163
Enumeration Date 2018-07-18
Last Update Date 2018-07-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 86115189 PA Dietary & Nutritional Service Providers

Other Providers SAMUEL WALKER

NPI Name Taxonomy Address Enumeration
1255685152 Samuel Patrick Walker Jr. Internal Medicine 1305 Dairy Ln, East Liverpool, OH 43920-9764 2012-10-31
1639258254 Samuel Patrick Walker Sr. Internal Medicine 39 Roy Beall Dr, Luverne, AL 36049-6805 2006-11-03
1184278590 Samuel Dean Walker Specialist/Technologist 32 Campus Dr, Missoula, MT 59812-0003 2019-07-25
1144727579 Samuel Gray Walker Student in an Organized Health Care Education/Training Program 1924 Alcoa Hwy # U-114, Knoxville, TN 37920-1511 2018-04-11
1790106292 Samuel Walker Naturopath 2121 W Indian School Rd, Phoenix, AZ 85015-4908 2013-12-30

Office Location

Street Address 675 WYOMING AVE
City KINGSTON
State PA
Zip Code 18704-3831

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033257407 Stanley Michael Stanish General Practice 675 Wyoming Ave, Kingston, PA 18704-3831 2007-02-01
1912312810 Derek Ciaruffoli Counselor 675 Wyoming Ave, Suite B, Kingston, PA 18704-3831 2014-06-30
1548674963 Stefanie Marie Smith Dietitian, Registered 675 Wyoming Ave, Kingston, PA 18704-3831 2014-06-13
1124364229 Cory Ian Shafer Counselor 675 Wyoming Ave, Kingston, PA 18704-3831 2012-12-17
1427272509 Scott Alan Weisenfluh Physician Assistant 675 Wyoming Ave, Kingston, PA 18704-3831 2007-04-12
1770608481 Pamela Lea Macneely Physician Assistant 675 Wyoming Ave, Kingston, PA 18704-3831 2007-03-20
1093853293 Joseph Anthony Campanella General Practice 675 Wyoming Ave, Kingston, PA 18704-3831 2007-02-01
1821136227 Medical Profesional Service, PC General Practice 675 Wyoming Ave, Kingston, PA 18704-3831 2007-02-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013557552 Millmark Health Inc. Psychiatry & Neurology 511 Pierce Street, Kingston, PA 18704 2020-01-13
1427550334 Michael Anthony Waltich Military Health Care Provider 82 Cooper Street, Pringle, PA 18704 2018-03-06
1376088435 Jae LLC Massage Therapist 512 Northhampton Street, Edwardsville, PA 18704 2016-12-28
1306278288 Mohammad Khaled Tashkandi Internal Medicine 490 Northampton St Ste 1, Edwardsville, PA 18704 2013-08-02
1396180014 Sammie Craven IIi Pharmacist 96 1st Avenue, Kingston, PA 18704 2013-05-08
1447693114 Catherine Mary Harding Nurse Practitioner 141 South Maple Ave, Kingston, PA 18704 2013-04-12
1861781403 Jennifer Ann Richards Pharmacist 22 West Side Mall, Edwardsville, PA 18704 2011-04-05
1558512772 Jolon Theresa Sherin Speech-Language Pathologist 1825 Sans Souci Highway, Hanover, PA 18704 2008-10-07
1932361102 Kari Ann Pietralczyk Audiologist 190 Welles Street, Forty-fort, PA 18704 2008-06-30
1467584151 John Christopher Storti Chiropractor 180 United Penn Plaza, Kingston, PA 18704 2007-03-09
Find all providers in zip 18704

Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306304860 Laura Juliane Isele Dietitian, Registered 521 Boices Lane Taconic Ddso, Kingston, NY 12401 2019-03-04
1124433818 Laurie Deutsch Mozian Dietitian, Registered 15 Presidents Pl, Kingston, NY 12401-6307 2014-06-22
1194014555 Victoria E Kelly Dietitian, Registered 65 Twin Ponds Dr, Kingston, NY 12401-6432 2011-04-06
1902119571 Rosemary Anne Mancuso Dietitian, Registered 171 W Chester St, Kingston, NY 12401-5939 2010-07-23
1558526855 Joyce Marcley Vergili Dietitian, Registered 34 Denver Rd, Kingston, NY 12401-1102 2008-07-25
1538253984 Joy Armillay, Ed.d., R.d., Ldn Dietitian, Registered 425 Tioga Avenue, Kingston, PA 18704 2006-10-02
1699705657 Beth M Higgins Dietitian, Registered 534 Wyoming Ave, Diabetes Management Center, Kingston, PA 18704-3742 2006-07-04
1487690640 Ilyse A Simon Dietitian, Registered 231 Clinton Ave, Kingston, NY 12401-5030 2006-06-22
1598704249 Wendy M Roosa Dietitian, Registered 35 Barbarosa Ln, Kingston, NY 12401-1221 2006-06-06
1356397673 Intermountain Medical Group, Inc Dietitian, Registered 610 Wyoming Ave, Kingston, PA 18704-3702 2006-05-26
Find all providers in KINGSTON

Competitor

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City KINGSTON
Zip Code 18704

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Dataset Information

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.

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