Shemika Latrice Walker

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN130155 Issued in GA

Practice address

3780 Bloomfield Village Dr Ste 1
Macon, GA 31206-0806

Phone

(478) 633-5500

Fax

(478) 784-3528

NPI assigned

Jan 5, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1033707096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 NORTHEAST DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310937303",
            "telephone_number": "478-319-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3780 BLOOMFIELD VILLAGE DR STE 1",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312060806",
            "telephone_number": "478-633-5500",
            "fax_number": "478-784-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "SHEMIKA",
        "middle_name": "LATRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN130155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill D Walker, NP-C
• Michael Anthony Walker II
• Patrice Nicole Walker, MD
• Rita Walker
• Shelby Walker, APRN
• Trisha Jeanine Walker, BCBA
• Richard Alan Wall II
• Cleopatra Wallace, CRNA
• Danielle Wallace
• Franc Wallace, MD

• Family Nurse Practitioner in Macon, GA
• Providers in Macon, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.