Nicole Walker

Primary specialty

ContractorTaxonomy code 171W00000X

License

110134 Issued in OH

Practice address

836 S Hamilton Rd
Columbus, OH 43213-3002

Phone

(614) 531-9821

NPI assigned

Dec 5, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• For Our Vets

  • Developmental Disabilities Clinic/Center
  • Columbus, OH
  • NPI 1265143606
  NPD Authorized official

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1104536838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 SANTA MARIA LN # 69",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131844",
            "telephone_number": "380-212-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 S HAMILTON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432133002",
            "telephone_number": "614-531-9821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "OH",
            "license": "110134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "randomkreations@gmx.com",
            "affiliation": "N",
            "address_1": "836 S Hamilton Rd",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432133002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lauren Ashley Walker, MS, LGC
• Lindsay Walker
• Madeline Marie Walker, DO
• Michelle D Walker, MD
• Miranda Star Walker, M.A. CCC-SLP
• Patricia Walker
• Phana Walker, RN
• Portia Veronica Walker, LCDC111BA
• Quantayjha Walker
• Raven Walker

• Contractor in Columbus, OH
• Providers in Columbus, OH by specialty
• Contractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.