Individual provider Active NPI

Leslie Y Walker, N.P.

  • Obstetrics & Gynecology Physician
  • Syracuse, NY
National Provider Identifier
1174742191
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OF300737 Issued in NY
Practice address
421 Montgomery St
Civic Center - 9TH Floor
Syracuse, NY 13202-2923
Phone
(315) 435-3653
Fax
(315) 435-2835
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OF300737 NY Primary

Addresses

Primary practice location

421 Montgomery St
Civic Center - 9TH Floor
Syracuse, NY 13202-2923

Mailing address

5051 Skyline Dr
Syracuse, NY 13215-2443
Phone (315) 435-3653

Other identifiers 1

IdentifierTypeStateIssuer
OF300737MedicaidNY

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
OF300737NYMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174742191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5051 SKYLINE DR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132152443",
            "telephone_number": "315-435-3653",
            "fax_number": "315-435-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 MONTGOMERY ST",
            "address_2": "CIVIC CENTER - 9TH FLOOR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132022923",
            "telephone_number": "315-435-3653",
            "fax_number": "315-435-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "LESLIE",
        "middle_name": "Y",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "OF300737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OF300737",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

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.

Verify at the official NPI Registry.