Individual provider Active NPI

Donna Elaine Walker, ARNP-C

  • Adult Health Nurse Practitioner
  • Lady Lake, FL
National Provider Identifier
1003847864
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2099292 Issued in FL
Practice address
13940 N US Highway 441
BLDG 100 Ste 102
Lady Lake, FL 32159-8908
Phone
(352) 751-9900
Fax
(352) 753-9438
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2099292 FL Primary
Critical Care Medicine Nurse Practitioner 363LC0200X 2099292 FL

Addresses

Primary practice location

13940 N US Highway 441
BLDG 100 Ste 102
Lady Lake, FL 32159-8908

Mailing address

5727 NW 69TH LN
Gainesville, FL 32653-7022
Phone (352) 371-9787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2099292FLMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1003847864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5727 NW 69TH LN",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326537022",
            "telephone_number": "352-371-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13940 N US HIGHWAY 441",
            "address_2": "BLDG 100 STE 102",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321598908",
            "telephone_number": "352-751-9900",
            "fax_number": "352-753-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "DONNA",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "2099292",
            "primary": true
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "FL",
            "license": "2099292",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.