Kendra Walker, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5150963 Issued in FL

Practice address

3841 Floyd Rd
Green Cove Springs, FL 32043-8536

Phone

(904) 514-4058

NPI assigned

Apr 11, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302480000000",
    "number": "1164712196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 FLOYD RD",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320438536",
            "telephone_number": "904-514-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 FLOYD RD",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320438536",
            "telephone_number": "904-514-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KENDRA",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5150963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Waite
• Walgreen Co (Walgreens #10469)
• Walker Wellness Center, LLC
• Cheryl A Walker, M.S.
• Jinky Jireh Lomongo Walker, PMHNP
• Kerra Walker
• Hanna Walton, OTR/L
• Christina Marie Ward, LCSW
• Amber Madison Webb, M.S., BCBA
• Stephen C Wei, M.D.

• Licensed Practical Nurse in Green Cove Springs, FL
• Providers in Green Cove Springs, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.