Duchess M Walker, RN, WTA-C

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

License

2471869 Issued in MN

Practice address

4546 58TH Ave N Apt 345
Brooklyn Center, MN 55429-2953

Phone

(763) 516-4851

NPI assigned

Jan 27, 2020

Last updated

Jan 27, 2020By the provider in NPPES

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1174154322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4546 58TH AVE N APT 345",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554292953",
            "telephone_number": "763-516-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4546 58TH AVE N APT 345",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554292953",
            "telephone_number": "763-516-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "DUCHESS",
        "middle_name": "M",
        "credential": "RN, WTA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "MN",
            "license": "2471869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ngoc My Waite, DDS
• Wal-Mart Stores Inc (Wal-Mart Vision Center 30-5625)
• Walgreen Co (Walgreens #04320)
• Alexis Walker
• Dominique Walker
• Caden Joseph Wall
• Rita Wallace-Reed, MD, MPH
• Mariyah Wallin
• Walmart Inc. (WalMart Pharmacy 10-5625)
• Minika Warden

• Wound Care Registered Nurse in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Wound Care Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.