WALKING TREE FAMILY PRACTICE, INC
NPI 1194502021
Clinic/Center - Primary Care in Lake Mary, FL

Q: What is Walking Tree Family Practice, Inc's NPI number?

The NPI number for Walking Tree Family Practice, Inc is 1194502021. It was assigned to this organization in the NPPES registry on September 13, 2023.

Q: What is Walking Tree Family Practice, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since September 13, 2023CLIA 10D2292523 · Waiver

3098 W LAKE MARY BLVD, LAKE MARY, FL 32746(407) 807-7248(407) 807-7209 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Walking Tree Family Practice, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALKING TREE FAMILY PRACTICE, INC (NPI 1194502021) is a healthcare organization registered as a primary care in Lake Mary, Florida and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through October 25, 2027 and lists Bessie Joyce Fairbairn, Dr. Fairbairn/owner, as its authorized official.

NPPES Registry Identity

NPI1194502021

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameWALKING TREE FAMILY PRACTICE, INC

Location Address3098 W LAKE MARY BLVDLake Mary, FL 32746-6742

Mailing Address3098 W Lake Mary BlvdLake Mary, FL 32746-6742 · (407) 807-7248 · Fax (407) 807-7209

Phone(407) 807-7248

Fax(407) 807-7209

Organization SubpartNo

Authorized OfficialBessie Joyce FairbairnDr. Fairbairn/owner · (406) 855-9722

Enumeration DateSeptember 13, 2023

Last NPPES UpdateMay 7, 2026

NPPES CertifiedMay 7, 2026

✔ NPI 1194502021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

3098 W LAKE MARY BLVD, Lake Mary, FL 32746

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2292523

Walking Tree Family Practice · Lake Mary, FL

Active · expires Oct 25, 2027

CLIA Number10D2292523

Laboratory TypePhysician Office

Certificate Effective DateOctober 26, 2025

Certificate Expiration DateOctober 25, 2027

Laboratory DirectorBessie J. Fairbarin

Laboratory Phone(407) 807-7248

Laboratory LocationWalking Tree Family Practice3098 W Lake Mary Boulevard, Lake Mary, FL 32746

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARTIN ALAN KANSOL O.D.

Optometrist