Individual provider Active NPI

Patricia Walker, NP

  • Family Nurse Practitioner
  • Sharon, MA
National Provider Identifier
1114975000
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
184424 Issued in MA
Practice address
19 Henry St
Sharon, MA 02067-1714
Phone
(339) 364-1979
Fax
(781) 250-8488
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 184424 MA
Gerontology Registered Nurse 163WG0600X 184424 MA
Family Nurse Practitioner 363LF0000X 184424 MA Primary

Addresses

Primary practice location

19 Henry St
Sharon, MA 02067-1714

Mailing address

19 Henry St
Sharon, MA 02067-1714
Phone (781) 784-0141

Other identifiers 1

IdentifierTypeStateIssuer
0799343MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20060613000217 MA Practitioner - Nurse Practitioner 7810909884 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
184424MAMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Healthcare Solutions LLC Family CurrentSince Mar 1, 2009 Accepting new patients
NP Care of Massachusetts LLC Past Accepting new patients

Locations

50 Oliver St
Ste 211
North Easton, MA 02356
Phone (508) 294-8256

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1114975000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HENRY ST",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020671714",
            "telephone_number": "781-784-0141",
            "fax_number": "781-784-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 HENRY ST",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020671714",
            "telephone_number": "339-364-1979",
            "fax_number": "781-250-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MA",
            "license": "184424",
            "primary": false
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "MA",
            "license": "184424",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "184424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0799343",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharon, MA

Sources for this page

Verify at the official NPI Registry.