Active NPI
William Leander Walker, ATC, LAT
- Athletic Trainer
- Yukon, OK
National Provider Identifier
1104240001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 493
- Practice address
- 609 Sage Brush Rd
Yukon, OK 73099-6869 - Phone
- (405) 620-6740
- Fax
- (405) 354-6607
- NPI assigned
- Feb 12, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 493 | OK | Primary |
Addresses
Primary practice location
609 Sage Brush Rd
Yukon, OK 73099-6869
Mailing address
609 Sage Brush Rd
Yukon, OK 73099-6869
Phone (405) 620-6740
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": "1392163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392163200000",
"number": "1104240001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 SAGE BRUSH RD",
"city": "YUKON",
"state": "OK",
"postal_code": "730996869",
"telephone_number": "405-620-6740",
"fax_number": "405-354-6607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 SAGE BRUSH RD",
"city": "YUKON",
"state": "OK",
"postal_code": "730996869",
"telephone_number": "405-620-6740",
"fax_number": "405-354-6607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "WILLIAM",
"middle_name": "LEANDER",
"name_prefix": "Mr.",
"credential": "ATC, LAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-12",
"last_updated": "2014-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OK",
"license": "493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.