Active NPI
Tonya Renee Walker, ANP
- Adult Health Nurse Practitioner
- Greensboro, NC
National Provider Identifier
1164572079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 129200
- Practice address
- 107 Gray Drive
Greensboro, NC 27402-6170 - Phone
- (336) 334-5340
- Fax
- (336) 334-5343
- NPI assigned
- Jan 11, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 129200 | NC | Primary |
Addresses
Primary practice location
107 Gray Drive
Greensboro, NC 27402-6170
Mailing address
3207 Crestview Dr
High Point, NC 27260-2603
Phone (336) 454-6738
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 |
|---|---|---|---|
| 129200 | NC | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164572079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3207 CRESTVIEW DR",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272602603",
"telephone_number": "336-454-6738",
"fax_number": "336-334-5343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 GRAY DRIVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274026170",
"telephone_number": "336-334-5340",
"fax_number": "336-334-5343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "TONYA",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NC",
"license": "129200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.