Active NPI
Marde M Walker, FNP
- Women's Health Nurse Practitioner
- Millington, TN
National Provider Identifier
1124676325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 0000023649
- Practice address
- 8225 Highway 51 North
Millington, TN 38053 - Phone
- (901) 222-9948
- NPI assigned
- Aug 30, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 0000023649 | TN | |
| Women's Health Nurse Practitioner | 363LW0102X | 0000023649 | TN | Primary |
Addresses
Primary practice location
8225 Highway 51 North
Millington, TN 38053
Mailing address
8225 Highway 51 North
Millington, TN 38053
Phone (901) 222-9948
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | marde.walker@shelbycountytn.gov | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000023649 | TN | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shelby County Government | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Land Ambulance
- Memphis, TN
- NPI 1083158570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567123200000",
"number": "1124676325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8225 HIGHWAY 51 NORTH",
"city": "MILLINGTON",
"state": "TN",
"postal_code": "38053",
"telephone_number": "901-222-9948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8225 HIGHWAY 51 NORTH",
"city": "MILLINGTON",
"state": "TN",
"postal_code": "38053",
"telephone_number": "901-222-9948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "MARDE",
"middle_name": "M",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-30",
"last_updated": "2019-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "TN",
"license": "0000023649",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TN",
"license": "0000023649",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "marde.walker@shelbycountytn.gov",
"affiliation": "N",
"endpointDescription": "work email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8225 Highway 51 North",
"city": "Millington",
"state": "TN",
"country_code": "US",
"postal_code": "38053",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Millington, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.