Active NPI
Jennifer Renee Walker, APRN
- Adult Health Nurse Practitioner
- Louisville, KY
National Provider Identifier
1083907968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 71006074A
- Practice address
- 9510 Ormsby Station Rd Ste 100
Louisville, KY 40223-4082 - Phone
- (502) 327-9100
- NPI assigned
- May 25, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 3007125 | KY | |
| Adult Health Nurse Practitioner | 363LA2200X | 71006074A | IN | Primary |
Addresses
Primary practice location
9510 Ormsby Station Rd Ste 100
Louisville, KY 40223-4082
Mailing address
9510 Ormsby Station Rd Ste 100
Louisville, KY 40223-4082
Phone (502) 327-9100
Other practice location 1
1724 State St
New Albany, IN 47150
Phone (866) 460-3567
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12275229 | Other | IN | CAQH |
| 201037440 | Medicaid | IN | |
| 7100184220 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538092800000",
"number": "1083907968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9510 ORMSBY STATION RD STE 100",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402234082",
"telephone_number": "502-327-9100",
"fax_number": "855-632-8329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9510 ORMSBY STATION RD STE 100",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402234082",
"telephone_number": "502-327-9100"
}
],
"practiceLocations": [
{
"address_1": "1724 State St",
"address_purpose": "LOCATION",
"city": "New Albany",
"state": "IN",
"postal_code": "47150",
"country_code": "US",
"telephone_number": "866-460-3567",
"fax_number": "855-632-8329",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALKER",
"first_name": "JENNIFER",
"middle_name": "RENEE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-25",
"last_updated": "2018-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "KY",
"license": "3007125",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IN",
"license": "71006074A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12275229",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201037440",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100184220",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.