Individual provider Active NPI

Jasmine Lei Walker, FNP-C

  • Family Nurse Practitioner
  • Dover, DE
National Provider Identifier
1093383747
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0011563 Issued in DE
Practice address
1001 S Bradford St Ste 7
Dover, DE 19904-4153
Phone
(302) 264-9436
Fax
(302) 264-9702
NPI assigned
Jun 17, 2021
Last updated
Mar 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG-0011563 DE Primary
Family Nurse Practitioner 363LF0000X GA305755 GA

Addresses

Primary practice location

1001 S Bradford St Ste 7
Dover, DE 19904-4153

Mailing address

124 Redstone CT
Felton, DE 19943-7415
Phone (302) 387-9046

Other practice location 1

215 Bullens Ln
Woodlyn, PA 19094-2001
Phone (484) 416-0769

Other practice location 2

4522B New Jersey Dr
Dover, DE 19901-6371
Phone (302) 387-9046

Other practice location 3

1751 Newnan Crossing Blvd E
Newnan, GA 30265-1517
Phone (678) 423-5854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220112002180 GA Practitioner - Nurse Practitioner 6204228786
I20231014000641 DE Practitioner - Nurse Practitioner 6204228786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
A Peaceful Place Integrated CareGroup PAC ID 1355742735, 5 clinicians

Practice addresses (Care Compare)

1001 S Bradford St
Suite 7
Dover, DE 19904-4153
Phone (302) 264-9436

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LG-0011563DEMDFamily Nurse Practitioner
GA305755GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NP at Your Service LLC Family CurrentSince Mar 11, 2025 Accepting new patients
TLC of Georgia LLC Family CurrentSince Dec 28, 2021 Accepting new patients
A Peaceful Place Integrated Care Family CurrentSince Feb 22, 2024 Accepting new patients

Locations

1001 S Bradford St
Ste 7
Dover, DE 19904
Phone (302) 264-9436

600 W Division St
#B
Dover, DE 19904
Phone (267) 815-4350

800 Glenwood Ave SE
Atlanta, GA 30316
Phone (470) 447-5031

455 Nathan Dean Blvd
Dallas, GA 30132
Phone (770) 443-8776

3600 Dallas Hwy SW
Marietta, GA 30064
Phone (770) 420-9170

1751 Newnan Crossing Blvd E
Newnan, GA 30265
Phone (678) 423-5845

2620 Elm Hill Pike
Nashville, TN 37214
Phone (615) 425-4211

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CBAHDD/Endpoint/CBAHDD
  • Direct secure messaging: jasmine.walker@krogerhealth.eclinicaldirectplus.com
  • Direct secure messaging: peacefulplace.jasminewalker@149154.advancedmd-direct.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1093383747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 REDSTONE CT",
            "city": "FELTON",
            "state": "DE",
            "postal_code": "199437415",
            "telephone_number": "302-387-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S BRADFORD ST STE 7",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044153",
            "telephone_number": "302-264-9436",
            "fax_number": "302-264-9702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Bullens Ln",
            "address_purpose": "LOCATION",
            "city": "Woodlyn",
            "state": "PA",
            "postal_code": "190942001",
            "country_code": "US",
            "telephone_number": "484-416-0769",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4522B New Jersey Dr",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199016371",
            "country_code": "US",
            "telephone_number": "302-387-9046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1751 Newnan Crossing Blvd E",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302651517",
            "country_code": "US",
            "telephone_number": "678-423-5854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JASMINE",
        "middle_name": "LEI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0011563",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GA305755",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.