Brenda Moody Walker, RN,MSN,CFNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

18804 Issued in WV

Practice address

4407 Maccorkle Ave SE
Charleston, WV 25304-2541

Phone

(304) 925-0392

Fax

(304) 825-0392

NPI assigned

Apr 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bwalker19952@valleyhealthsystems.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Valley Health Systems, Inc

  • Federally Qualified Health Center (FQHC)
  • Charleston, WV
  • NPI 1407466535
  NPD
• Valley Health Systems, Inc.

  • Federally Qualified Health Center (FQHC)
  • Huntington, WV
  • NPI 1508720913
  NPD
• Valley Health Systems, Inc.

  • Federally Qualified Health Center (FQHC)
  • Scott Depot, WV
  • NPI 1700446929
  NPD
• Valley Health Systems Inc

  • Family Medicine Physician
  • Milton, WV
  • NPI 1891775557
  NPD (past)

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1013971761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 3RD AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257031642",
            "telephone_number": "304-697-1396",
            "fax_number": "304-697-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042541",
            "telephone_number": "304-925-0392",
            "fax_number": "304-825-0392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 Pennsylvania Ave",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253023302",
            "country_code": "US",
            "telephone_number": "304-343-1863",
            "fax_number": "304-344-1755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "BRENDA",
        "middle_name": "MOODY",
        "credential": "RN,MSN,CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "18804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0167011000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co.
• Susan Grace Walker-Matthews, PHD
• Andrew Paul Walker, M.D.
• Anna Marie Walker, RN
• Bradley Walker
• Carla Walker
• Carrie Walker
• Crystal Walker
• Donnaysia M Walker
• Dustin Walker

• Nurse Practitioner in Charleston, WV
• Providers in Charleston, WV by specialty
• Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.