Shannon Nicole Walker

Primary specialty

PsychologistTaxonomy code 103T00000X

License

34282 Issued in CA

Practice address

517 N Main St Ste 339
Santa Ana, CA 92701-4686

Phone

(714) 732-2052

NPI assigned

Jul 23, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Grit Psychological Solutions, PC

  • Psychologist
  • Ontario, CA
  • NPI 1265211908
  NPD Authorized official
• County of San Bernardino

  • Substance Use Disorder Rehabilitation Clinic/Center
  • San Bernardino, CA
  • NPI 1184105488
  NPD (past)

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1164864807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 N MAIN ST STE 339",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014686",
            "telephone_number": "714-732-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 N MAIN ST STE 339",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014686",
            "telephone_number": "714-732-2052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6711 Arlington Ave",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925041955",
            "country_code": "US",
            "telephone_number": "951-352-3943",
            "fax_number": "951-637-1577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1950 S Sunwest Ln",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924083258",
            "country_code": "US",
            "telephone_number": "909-252-4010",
            "fax_number": "951-252-4010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2003 E Cherry Hill Ct",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917616427",
            "country_code": "US",
            "telephone_number": "909-438-8392",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 W 4th St",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924156427",
            "country_code": "US",
            "telephone_number": "909-382-7882",
            "fax_number": "909-889-2782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "SHANNON",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-23",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "99183",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFTI #75982",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "34282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Walker, RBT
• Emily Walker
• Kendall Lynn Walker
• Morgan Walker
• Samantha Leigh Walker
• Vivian Liana Walker, BT
• Karen Frances Wallace
• Theresa Anne Wallace
• Al Waller Jr.
• Brittani Charmain Waller

• Psychologist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.