DR. KIMBERLY C WALKER (NPI# 1306024930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306024930 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY C WALKER |
| Credential | MD |
| Practice Address |
10630 Little Patuxent Pkwy Ste 313 Columbia MD 21044-6216 |
| Mailing Address |
5325 Woodlot Rd Columbia MD 21044-5721 |
| Practice Telephone | 2403347650 |
| Practice Fax Number | 8667007059 |
| Mailing Telephone | 7174974418 |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2020-03-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
D0073253 | MD | Allopathic & Osteopathic Physicians |
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
D0073253 | MD | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1421 S Caton Ave Ste 201, Baltimore, MD 212271025 | 4438732520 | 4106462549 |
| 5668 State Route 209, Lykens, PA 17048 | 7177328400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131112 | Kimberly Ann Walker | Adult Companion | 452 Bay St, Pontiac, MI 48342-1912 | 2020-10-13 |
| 1891303699 | Kimberly Walker | Physical Therapist | 936 Pocahontas Rd, Flora, MS 39071 | 2020-07-17 |
| 1629635420 | Kimberly Walker | Registered Nurse | 8921 Merseyside Ave, Jacksonville, FL 32219-2374 | 2019-05-28 |
| 1700386471 | Kimberly Denise Walker I | Social Worker | 3244 Williamsburg St Nw, Warren, OH 44485-2257 | 2018-02-19 |
| 1053829572 | Kimberly Lynn Walker | Social Worker | 5869 Allentown Rd, Camp Springs, MD 20746-4548 | 2018-01-18 |
| 1538602099 | Kimberly Walker | Social Worker | 9886 E Rockton Cir, New Orleans, LA 70127-2230 | 2016-11-30 |
| 1255883377 | Kimberly Walker | Registered Nurse | 292 W. Eilson, Pontiac, MI 48341 | 2016-10-25 |
| 1265783567 | Kimberly Anne Walker | Counselor | 3636 N 1st St Ste 162, Fresno, CA 93726-6869 | 2012-09-26 |
| 1013223668 | Kimberly Sue Walker | Speech-Language Pathologist | 701 Se Riverside Dr, Evansville, IN 47713-1126 | 2010-08-20 |
| 1326375726 | Kimberly Walker | Occupational Therapy Assistant | 1220 Prospect Avenue Suite 292, Melbourne, FL 32901 | 2009-11-06 |
| Street Address |
10630 LITTLE PATUXENT PKWY STE 313 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21044-6216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730609140 | Kimberly C. Walker, M.d. | Clinic/Center | 10630 Little Patuxent Pkwy Ste 313, Columbia, MD 21044-6216 | 2017-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
| 1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
| 1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
| 1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
| 1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
| 1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
| Find all providers in zip 21044 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043832157 | Envision Wellness Medical Group LLC | Psychiatry & Neurology | 4100 N Main St Ste 101, Columbia, SC 29203-5800 | 2020-05-12 |
| 1548664964 | Melody Ann Boling | Psychiatry & Neurology | 1 Hospital Dr # Dc067.00, Department of Psychiatry, Columbia, MO 65212-1000 | 2014-10-14 |
| 1548502362 | Dina Marie Sztein | Psychiatry & Neurology | 9841 Broken Land Pkwy Ste 211, Columbia, MD 21046 | 2013-03-19 |
| 1568736247 | David Downie Iv, M.d.,p.a. | Psychiatry & Neurology | 1327 Richland Street, Columbia, SC 29201 | 2012-02-28 |
| 1447522800 | Life Strategies LLC | Psychiatry & Neurology | 2855 Pruitt Dr, Columbia, SC 29204-3645 | 2012-02-01 |
| 1699938217 | Anita Bajaj | Psychiatry & Neurology | 10015 Old Columbia Rd # L26d, Columbia, MD 21046-1703 | 2008-07-03 |
| 1043308356 | Herbert Randolph Spencer | Psychiatry & Neurology | 1800 Colonial Drive, Columbia, SC 29201 | 2006-10-11 |
| 1891883005 | Elizabeth Hubbard Jeffords | Psychiatry & Neurology | 3612 Landmark Dr Ste B, Columbia, SC 29204-4039 | 2006-10-11 |
| 1134231723 | Judith Victoria Ovalle Abuabara | Psychiatry & Neurology | 106 Corporate Lake Dr, Columbia, MO 65203-7170 | 2006-08-31 |
| 1316989304 | Mark A Riddle | Psychiatry & Neurology | 5500 Knoll North Dr Ste 370, Columbia, MD 21045-2393 | 2006-06-12 |
| Find all providers in COLUMBIA | ||||
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| 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.