Individual provider Active NPI

Anna Walker, MSN, APRN, FNP

  • Family Nurse Practitioner
  • Burbank, CA
National Provider Identifier
1164104238
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95026321 Issued in CA
Practice address
3808 W Riverside Dr Ste 406
Burbank, CA 91505-5301
Phone
(310) 765-9019
Fax
(310) 765-9019
NPI assigned
Aug 7, 2023
Last updated
Mar 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95026321 CA Primary
Registered Nurse 163W00000X 95179772 CA

Addresses

Primary practice location

3808 W Riverside Dr Ste 406
Burbank, CA 91505-5301

Mailing address

3808 W. Riverside Dr Suite 406
Burbank, CA 91505-4325
Phone (310) 765-9019

Other practice location 1

319 S Brand Blvd
Glendale, CA 91204-1701
Phone (818) 240-0006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20231111000669 CA Practitioner - Nurse Practitioner 8022465145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family First Nurse Practitioner Nursing CorpGroup PAC ID 2163861527, 2 clinicians

Practice addresses (Care Compare)

3808 W Riverside Dr
Suite 406
Burbank, CA 91505-5301
Phone (310) 765-9019

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95026321CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Nurse Practitioner, Nursing Corp. Family CurrentSince Jan 28, 2024 Accepting new patients
United Sonomed Radiology Inc. Past Accepting new patients

Locations

3808 W Riverside Dr
Ste 406
Burbank, CA 91505
Phone (310) 765-9019

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1164104238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 W. RIVERSIDE DR SUITE 406",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054325",
            "telephone_number": "310-765-9019",
            "fax_number": "310-765-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 W RIVERSIDE DR STE 406",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915055301",
            "telephone_number": "310-765-9019",
            "fax_number": "310-765-9019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "319 S Brand Blvd",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912041701",
            "country_code": "US",
            "telephone_number": "818-240-0006",
            "fax_number": "818-240-0038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ANNA",
        "credential": "MSN, APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95026321",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95179772",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.