Individual provider Active NPI

Thanh Jennifer Walker, ANP-BC

  • Adult Health Nurse Practitioner
  • Chapel Hill, NC
National Provider Identifier
1104149400
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APPROVAL # 5004657 Issued in NC
Practice address
160 Dental Cir
CB 7075
Chapel Hill, NC 27599-7075
Phone
(919) 966-4743
NPI assigned
Mar 2, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APPROVAL # 5004657 NC Primary

Addresses

Primary practice location

160 Dental Cir
CB 7075
Chapel Hill, NC 27599-7075

Mailing address

160 Dental Cir
CB 7075
Chapel Hill, NC 27599-7075
Phone (919) 966-4743

Other names 1

  • Mrs. Thanh Jennifer Walker Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101007000922 NC Practitioner - Nurse Practitioner 2860684974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Emory University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

100 Eastowne Dr
Chapel Hill, NC 27514-2286
Phone (984) 215-5556

101 Manning Dr
Chapel Hill, NC 27514-4220

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APPROVAL # 5004657NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill CurrentSince Jul 1, 2010 Accepting new patients
University of North Carolina at Chapel Hill CurrentSince Jul 1, 2010 Accepting new patients
Park Ophthalmology Past Accepting new patients

Locations

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

100 Eastowne Dr
Fl 14
Chapel Hill, NC 27514
Phone (984) 215-5556

Interoperability endpoints

  • Direct secure messaging: twalker19345@direct.unc.nchie.net

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 and National Provider Directory roles.

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": "1267488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1104149400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 DENTAL CIR",
            "address_2": "CB 7075",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997075",
            "telephone_number": "919-966-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 DENTAL CIR",
            "address_2": "CB 7075",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997075",
            "telephone_number": "919-966-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "THANH",
        "middle_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "ANP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-02",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "APPROVAL # 5004657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THANH",
            "last_name": "WALKER",
            "middle_name": "JENNIFER",
            "prefix": "MRS.",
            "credential": "APRN-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.