Walls Wellness Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WALLS WELLNESS CENTER

Practice address

149 Jerry West Hwy Ste 2a
Logan, WV 25601-3967

Phone

(304) 688-2373

NPI assigned

Oct 8, 2020

Last updated

Jan 28, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julie Walls, MSN, APRN, FNP-CNPI 1780090167

Title

Owner

Phone

(304) 688-2373

Specialties & licenses 1

Addresses

Other names 1

• Walls Wellness Center, LLC Other name

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julie Ann Walls, FNP-C

  • Family Nurse Practitioner
  • Logan, WV
  • NPI 1780090167
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1043817471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 145",
            "city": "VERNER",
            "state": "WV",
            "postal_code": "256500145",
            "telephone_number": "304-688-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 JERRY WEST HWY STE 2A",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013967",
            "telephone_number": "304-688-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLS WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-688-2373",
        "authorized_official_credential": "MSN, APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walls Wellness Center, LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Walls Wellness Center, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Wal-Mart Stores East, LP. (Walmart pharmacy 10-3164)
• Walgreen Co (Walgreens # 18275)
• Walgreen Co. (Walgreens #18275)
• Leslie Renee Walker, BA
• Timothy Walker
• Julie Ann Walls, FNP-C
• Casey Walsh
• Ravenlou Wamsley
• Cassie Ward
• Debra Ward

• Family Medicine Physician in Logan, WV
• Providers in Logan, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.