KIMBERLY C. WALKER, M.D. (NPI# 1730609140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730609140 |
| Entity Type | Organization |
| Organization Name | KIMBERLY C. WALKER, M.D. |
| Other Organization Name | KIMBERLY C. WALKER, M.D. |
| 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 | 2017-06-27 |
| Last Update Date | 2017-06-27 |
| Authorized Official Name | DR. KIMBERLY CAMILLE WALKER (OWNER) |
| Authorized Official Telephone | 2403347650 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
D0073253 | MD | Ambulatory Health Care Facilities |
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
D0073253 | MD | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Kimberly C. Walker, M.D. | Doing Business As Name - Organization |
| Street Address |
10630 LITTLE PATUXENT PKWY STE 313 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21044-6216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306024930 | Kimberly C Walker | Psychiatry & Neurology | 10630 Little Patuxent Pkwy Ste 313, Columbia, MD 21044-6216 | 2008-02-06 |
| 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 | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215405782 | Lumos Counseling & Wellness Center | Clinic/Center | 5537 Twin Knolls Rd Ste 439, Columbia, MD 21045-3270 | 2018-11-02 |
| 1508235110 | Health Access 360, LLC | Clinic/Center | 4711 Forest Dr Ste 3-276, Columbia, SC 29206-3125 | 2015-09-24 |
| 1861875908 | Whetstone Valley Stables LLC | Clinic/Center | 3368 Murphy Ln, Columbia, TN 38401-5741 | 2015-07-07 |
| 1013292465 | University of Missouri Student Health Center | Clinic/Center | 1101 Hospital Drive Dc 800 00, Columbia, MO 65212-0001 | 2011-10-18 |
| 1982984365 | Reality House, Inc. | Clinic/Center | 1900 E Prathersville Rd, Columbia, MO 65202-9260 | 2011-08-17 |
| 1336387778 | Pollock Psychiatry LLC | Clinic/Center | 116 Belle Grove Cir, Columbia, SC 29229-8906 | 2009-01-22 |
| 1538760657 | Breakthrough Behavioral Health Services LLC | Clinic/Center | 5457 Twin Knolls Rd Ste 300, Columbia, MD 21045-3296 | 2020-11-04 |
| 1831797539 | New England Holistic Well-being Center LLC | Clinic/Center | 4 Doubleday Rd, Columbia, CT 06237-1405 | 2020-10-14 |
| 1932737624 | Maya Rake, Lisw-cp LLC | Clinic/Center | 2221 Bull St, Columbia, SC 29201-1901 | 2020-03-30 |
| 1942854021 | Bridgette Ratnam, LLC | Clinic/Center | 10015 Old Columbia Rd Ste B215, Columbia, MD 21046-1865 | 2019-07-28 |
| 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.