NPIMap

Organization Active NPI

Dr. Edwin Walker

  • General Practice Physician
  • Denham Springs, LA
National Provider Identifier
1003239088
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DR. EDWIN WALKER
Practice address
8369 Florida Blvd
Suite 1
Denham Springs, LA 70726-7862
Phone
(225) 665-5149
Fax
(225) 667-1770
NPI assigned
Jan 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Colleen Hebert Busby Bible, LPN, CA
Title
Administrator
Phone
(225) 665-5149

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X LA Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

8369 Florida Blvd
Suite 1
Denham Springs, LA 70726-7862

Mailing address

8369 Florida Blvd
Suite 8
Denham Springs, LA 70726-7862
Phone (225) 665-5149

Other identifiers 1

IdentifierTypeStateIssuer
2373978MedicaidLA

Other names 1

  • Dr. Edwin Walker Medical Practice Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address edwin.walker.1@9323.direct.athenahealth.com Direct

National Provider Directory

National Provider Directory

Locations

8369 Florida Blvd
Ste 1
Denham Springs, LA 70726
Phone (225) 665-5149

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9323/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003239088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8369 FLORIDA BLVD",
            "address_2": "SUITE 8",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707267862",
            "telephone_number": "225-665-5149",
            "fax_number": "225-667-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8369 FLORIDA BLVD",
            "address_2": "SUITE 1",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707267862",
            "telephone_number": "225-665-5149",
            "fax_number": "225-667-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. EDWIN WALKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-28",
        "last_updated": "2022-07-21",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "BIBLE",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "HEBERT BUSBY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "225-665-5149",
        "authorized_official_credential": "LPN, CA"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "LA",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2373978",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edwin.walker.1@9323.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "DIRECT MESSAGING ADDRESS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8369 Florida Blvd",
            "address_2": "suite 1",
            "city": "Denham Springs",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707267862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dr. Edwin Walker Medical Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr. Edwin Walker Medical Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denham Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.