Active NPI
Jesse W Walker
- Home Health Aide
- Nelsonville, OH
National Provider Identifier
1053456541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 2235601
- Practice address
- 13495 Kimberly Rd
Nelsonville, OH 45764 - Phone
- (740) 753-3797
- Fax
- (740) 753-3797
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 2235601 | OH | Primary |
Addresses
Primary practice location
13495 Kimberly Rd
Nelsonville, OH 45764
Mailing address
13531 Kimberly Rd
Nelsonville, OH 45764
Phone (740) 753-3797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2235601 | Medicaid | OH |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2235601 | OH | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053456541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13531 KIMBERLY RD",
"city": "NELSONVILLE",
"state": "OH",
"postal_code": "45764",
"telephone_number": "740-753-3797",
"fax_number": "740-753-3797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13495 KIMBERLY RD",
"city": "NELSONVILLE",
"state": "OH",
"postal_code": "45764",
"telephone_number": "740-753-3797",
"fax_number": "740-753-3797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "JESSE",
"middle_name": "W",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OH",
"license": "2235601",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2235601",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nelsonville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.