Active NPI
Stacy Walker, PHD, ATC
- Athletic Trainer
- Muncie, IN
National Provider Identifier
1073587622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 36001094A
- Practice address
- Health Professions Building 439
Ball State University
Muncie, IN 47306 - Phone
- (765) 285-5175
- NPI assigned
- Feb 13, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 36001094A | IN | Primary |
Addresses
Primary practice location
Health Professions Building 439
Ball State University
Muncie, IN 47306
Mailing address
Health Professions Building 439
Ball State University
Muncie, IN 47306-0001
Phone (765) 285-5175
Other practice location 1
School Of Kinesiology
Ball State University
Muncie, IN 47306-0001
Phone (765) 285-5175
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36001094A | IN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565222400000",
"number": "1073587622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HEALTH PROFESSIONS BUILDING 439",
"address_2": "BALL STATE UNIVERSITY",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473060001",
"telephone_number": "765-285-5175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HEALTH PROFESSIONS BUILDING 439",
"address_2": "BALL STATE UNIVERSITY",
"city": "MUNCIE",
"state": "IN",
"postal_code": "47306",
"telephone_number": "765-285-5175"
}
],
"practiceLocations": [
{
"address_1": "School Of Kinesiology",
"address_2": "Ball State University",
"address_purpose": "LOCATION",
"city": "Muncie",
"state": "IN",
"postal_code": "473060001",
"country_code": "US",
"telephone_number": "765-285-5175",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALKER",
"first_name": "STACY",
"credential": "PHD, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-13",
"last_updated": "2019-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": "36001094A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.