Individual provider Active NPI

David L Walker, APRN - CNP

  • Family Nurse Practitioner
  • Oktaha, OK
National Provider Identifier
1114928975
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0050751 Issued in OK
Practice address
8773 W 103St S
Oktaha, OK 74450-4718
Phone
(918) 441-5676
Fax
(918) 684-9904
NPI assigned
Aug 2, 2005
Last updated
Dec 31, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R0050751 OK Primary

Addresses

Primary practice location

8773 W 103St S
Oktaha, OK 74450-4718

Mailing address

8773 W 103Rd St S
Oktaha, OK 74450-2201
Phone (918) 441-5676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20051223000011 OK Practitioner - Nurse Practitioner 6901846591

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
17.43 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
58.09

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R0050751OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Walker Ventures, LLC Family CurrentSince Jan 1, 2012 Accepting new patients
Walker Family Practice, LLC Family CurrentSince Oct 5, 2005 Accepting new patients
Cherokee Nation Past Accepting new patients
Northeastern State University College of Optometry Past Accepting new patients
Tracey W. Childers, D.O. P.C. Past Accepting new patients

Locations

1100 Oakridge Dr
Durant, OK 74701
Phone (580) 634-4710

821 N York St
Ste C
Muskogee, OK 74403
Phone (918) 682-1222

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388448000000",
    "number": "1114928975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8773 W 103RD ST S",
            "city": "OKTAHA",
            "state": "OK",
            "postal_code": "744502201",
            "telephone_number": "918-441-5676",
            "fax_number": "918-684-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8773 W 103ST S",
            "city": "OKTAHA",
            "state": "OK",
            "postal_code": "744504718",
            "telephone_number": "918-441-5676",
            "fax_number": "918-684-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "DAVID",
        "middle_name": "L",
        "credential": "APRN - CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2013-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0050751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oktaha, OK

Sources for this page

Verify at the official NPI Registry.