Active NPI
Stephanie Lynn Walker, RT (R) (M)
- Radiologic Technologist
- Fairfield, IL
National Provider Identifier
1083978696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- Practice address
- 209 NW 11TH St
Fairfield, IL 62837-1218 - Phone
- (618) 842-4470
- NPI assigned
- Jun 28, 2012
- 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 |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | IL | Primary |
Addresses
Primary practice location
209 NW 11TH St
Fairfield, IL 62837-1218
Mailing address
PO Box 155
Christopher, IL 62822-0155
Phone (618) 724-2436
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340841600000",
"number": "1083978696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 155",
"city": "CHRISTOPHER",
"state": "IL",
"postal_code": "628220155",
"telephone_number": "618-724-2436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 NW 11TH ST",
"city": "FAIRFIELD",
"state": "IL",
"postal_code": "628371218",
"telephone_number": "618-842-4470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "STEPHANIE",
"middle_name": "LYNN",
"credential": "RT (R) (M)",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-28",
"last_updated": "2012-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, IL
- Grace Elizabeth Vaughan, RN
- William A Victor, LCPC
- Bonnie Kay Wagner
- Katherine Violet Walker, LPN
- Sheila A Walker, DTV
- Walmart Inc.
- Suzanne M Ward, R.T (R) RDMS RVT
- Way-Fair Nursing and Rehabilitation Center, LLC
- Wayne County Ambulance Service
- WC- Fairfield Ops, LLC (Brookstone Estates of Fairfield)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.