Bonnie Lucile Walker, DC, L AC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1748 Issued in NC

Practice address

2348 Highway 105 Ste 9
Boone, NC 28607-7802

Phone

(828) 265-0001

Fax

(828) 265-0117

NPI assigned

Apr 26, 2007

Sex

Female

Sole proprietor

Yes

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

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wellspring Chiropractic & Acupuncture Center PA

  • Health Service Clinic/Center
  • Boone, NC
  • NPI 1700113107
  NPD Authorized official

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249948800000",
    "number": "1043430622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2348 HIGHWAY 105 STE 9",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286077802",
            "telephone_number": "828-265-0001",
            "fax_number": "828-265-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2348 HIGHWAY 105 STE 9",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286077802",
            "telephone_number": "828-265-0001",
            "fax_number": "828-265-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "BONNIE",
        "middle_name": "LUCILE",
        "name_prefix": "Dr.",
        "credential": "DC, L AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2009-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Indicott Waldrep, DMD
• Wesley Joseph Waldrep, DMD
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• Sherry Ayscue Walsh, LCSWA
• Emma Shepherd Walters
• Judith Annette Ward, LCSW
• Kathryn Warner, LCSWA

• Chiropractor in Boone, NC
• Providers in Boone, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.