Individual provider Active NPI

Chanta Walker, RN

  • Case Management Registered Nurse
  • Cincinnati, OH
National Provider Identifier
1063150936
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
RN.386393 Issued in OH
Practice address
3315 Lakeview St
Cincinnati, OH 45211-6415
Phone
(513) 580-3877
NPI assigned
May 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.194064 OH
Mental Health Counselor 101YM0800X
Case Management Registered Nurse 163WC0400X RN.386393 OH Primary

Addresses

Primary practice location

3315 Lakeview St
Cincinnati, OH 45211-6415

Mailing address

3315 Lakeview St
Cincinnati, OH 45211-6415
Phone (513) 678-2967

Other practice location 1

1088 Wasserman Way
Batavia, OH 45103
Phone (513) 735-8100

Other practice location 2

1501 Madison Rd
Cincinnati, OH 45206
Phone (513) 354-5200

Other identifiers 1

IdentifierTypeStateIssuer
SK200694MedicaidOH

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
CDCA.194064OHMDAddiction (Substance Use Disorder) Counselor
RN.386393OHMDCase Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Reinventing Yourself Coaching CurrentSince Jul 31, 2023 Accepting new patients
Clermont Recovery Center, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1653091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1063150936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 LAKEVIEW ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452116415",
            "telephone_number": "513-678-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 LAKEVIEW ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452116415",
            "telephone_number": "513-580-3877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1088 WASSERMAN WAY",
            "address_purpose": "LOCATION",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "45103",
            "country_code": "US",
            "telephone_number": "513-735-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 MADISON RD",
            "address_purpose": "LOCATION",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45206",
            "country_code": "US",
            "telephone_number": "513-354-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "CHANTA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-21",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.194064",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "OH",
            "license": "RN.386393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SK200694",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.