KIMBERLY THERESA MCCLINTOCK-WALLA NP
NPI 1750163705
Nurse Practitioner - Adult Health in Pearl River, NY

NPI Status: Active since October 16, 2023

Contact Information

67 S MAIN ST
PEARL RIVER, NY
ZIP 10965
Phone: (845) 368-0800
Fax: (845) 368-0810

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  • Individual
  • Female
  • Nurse Practitioner
  • Adult Health

About KIMBERLY MCCLINTOCK-WALLA

This page provides the complete NPI Profile along with additional information for Kimberly Mcclintock-walla, a provider established in Pearl River, New York with a medical specialization in Nurse Practitioner, focusing in adult health . The healthcare provider is registered in the NPI registry with number 1750163705 assigned on October 2023. The practitioner's primary taxonomy code is 363LA2200X with license number 311577 (NY). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1750163705
Provider Name
KIMBERLY THERESA MCCLINTOCK-WALLA NP
Gender
Female
Entity Type
Individual
Location Address
67 S MAIN ST PEARL RIVER, NY 10965
Location Phone
(845) 368-0800
Location Fax
(845) 368-0810
Mailing Address
67 S MAIN ST PEARL RIVER, NY 10965
Mailing Phone
(845) 368-0800
Mailing Fax
(845) 368-0810
Is Sole Proprietor?
No
Enumeration Date
10-16-2023
Last Update Date
10-16-2023
Code Navigator

A nurse practitioner (NP) like Kimberly Mcclintock-walla is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Adult Health

Taxonomy Code
363LA2200X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
311577
License State
NY

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208VP0000XAllopathic & Osteopathic Physicians

Pain Medicine
Pain Medicine

311577 (NY)

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1750163705, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 1 → 2 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 0 + 0 + 2 + 6 + 6 + 7 + 0 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1750163705.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Specialist
67 S MAIN ST
PEARL RIVER, NY 10965
Chiropractor
67 S MAIN ST
PEARL RIVER, NY 10965
Anesthesiology (Pain Medicine)
67 S MAIN ST
PEARL RIVER, NY 10965

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750163705, enumerated as an "individual" on October 16, 2023.

The provider is located at 67 S MAIN ST PEARL RIVER, NY 10965 and the phone number is (845) 368-0800.

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.