Active NPI
Jay Walker
- Case Manager/Care Coordinator
- Ponchatoula, LA
National Provider Identifier
1093229031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 41459 S Range Rd Apt 114
Ponchatoula, LA 70454-3083 - Phone
- (985) 602-7484
- NPI assigned
- Nov 29, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
41459 S Range Rd Apt 114
Ponchatoula, LA 70454-3083
Mailing address
41459 S Range Rd Apt 114
Ponchatoula, LA 70454-3083
Phone (985) 602-7484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007004123 | Other | LA | DRIVER'S LICENSE |
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": "1511913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584662400000",
"number": "1093229031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41459 S RANGE RD APT 114",
"city": "PONCHATOULA",
"state": "LA",
"postal_code": "704543083",
"telephone_number": "985-602-7484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41459 S RANGE RD APT 114",
"city": "PONCHATOULA",
"state": "LA",
"postal_code": "704543083",
"telephone_number": "985-602-7484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "JAY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-11-29",
"last_updated": "2020-03-20",
"certification_date": "2020-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENSE",
"identifier": "007004123",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ponchatoula, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.