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EMILY KATHERINE WALLER MD
NPI 1265283022
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Active since March 29, 2024PECOS Enrolled
4301 W MARKHAM, SLOT #589, LITTLE ROCK, AR 72205(501) 526-8148 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Emily Katherine Waller Md NPPES

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

EMILY KATHERINE WALLER MD (NPI 1265283022) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265283022
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameEMILY KATHERINE WALLERCredential: MD
Location Address4301 W MARKHAM, SLOT #589Little Rock, AR 72205-7101
Mailing Address1412 Pine Valley RdLittle Rock, AR 72207-2633 · (479) 966-5340
Phone(501) 526-8148
Sole ProprietorYes
Enumeration DateMarch 29, 2024
NPPES CertifiedMarch 29, 2024
✔ NPI 1265283022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4301 W MARKHAM, Little Rock, AR 72205
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Katherine Waller Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

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

DR. ILA BANSAL MD
Pathology (Anatomic Pathology & Clinical Pathology)
4301 W MARKHAM, 517
LITTLE ROCK, AR 72205
Pulaski County (501) 526-7768
MELISSA BROOKE ECKES MD
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM, SLOT 520
LITTLE ROCK, AR 72205
Pulaski County (501) 686-6627
LANCE K RUNION MD
Radiology (Body Imaging)
4301 W MARKHAM, 783
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
CAROLINE GOODMAN
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM
LITTLE ROCK, AR 72205
Pulaski County (501) 686-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emily Waller's NPI number?

The NPI number for Emily Waller is 1265283022. It was assigned to this individual provider in the NPPES registry on March 29, 2024.

Where is Emily Waller located?

Emily Waller practices at 4301 W Markham Slot #589, Little Rock, AR 72205. The listed phone number is (501) 526-8148.

What is Emily Waller's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Emily Waller enrolled in Medicare?

Yes. Emily Waller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Emily Waller was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.