Jeramiah Walker Aprn CNP PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R0073208 Issued in OK

Legal business name

JERAMIAH WALKER APRN CNP PLLC

Doing business as

Tri City Family Care

Practice address

300 NW 32ND St
Newcastle, OK 73065-6300

Phone

(405) 387-3838

Fax

(405) 387-3822

NPI assigned

Dec 24, 2013

Last updated

Dec 24, 2013By 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

Mr. Jeramiah Walker, APRNNPI 1497928840

Title

Owner

Phone

(405) 387-3838

Specialties & licenses 1

Addresses

Other names 1

• Tri City Family Care Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 3

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.

• Jeramiah Louis Walker, APRN

  • Family Nurse Practitioner
  • Newcastle, OK
  • NPI 1497928840
  Medicare reassignment NPD Authorized official
• Aimee Susan Walker, LPC

  • Professional Counselor
  • Newcastle, OK
  • NPI 1396211942
  NPD
• Kailee Danielle Marshall

  • Counselor
  • Newcastle, OK
  • NPI 1164081741
  NPD (past)

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

{
    "created_epoch": "1387843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387843200000",
    "number": "1053732784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20445",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731560445",
            "telephone_number": "405-419-8444",
            "fax_number": "405-419-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NW 32ND ST",
            "city": "NEWCASTLE",
            "state": "OK",
            "postal_code": "730656300",
            "telephone_number": "405-387-3838",
            "fax_number": "405-387-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERAMIAH WALKER APRN CNP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-24",
        "last_updated": "2013-12-24",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JERAMIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-387-3838",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0073208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri City Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jordan Hites
• Candace J Hladik, PTA
• Kameron Kimberly Ann Homier, LCSW
• Cortney Suzanne Hoyt, MS PT
• Carla M Irvin, RBT
• Jim E Cox DDS PC
• Michael Koprivnik
• Jeremy Brandon Lamb, PHYSICIAN ASSISTANT
• Amanda Larae Lawrence, PT
• Amy Le, DDS

• Family Nurse Practitioner in Newcastle, OK
• Providers in Newcastle, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2013; 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.