Individual provider Active NPI

Jamie Jo Walker, PA-C

  • Physician Assistant
  • Houma, LA
National Provider Identifier
1184931891
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.200368 Issued in LA
Practice address
3417 Anise St
Houma, LA 70360-7272
Phone
(985) 860-6535
NPI assigned
Sep 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.200368 LA Primary

Addresses

Primary practice location

3417 Anise St
Houma, LA 70360-7272

Mailing address

3417 Anise St
Houma, LA 70360-7272
Phone (985) 860-6535

Other names 1

  • Jamie Jo Petrella Walker Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101209001441 LA Practitioner - Physician Assistant 6406043835 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
South Louisiana Medical Associates Physician Assistant CurrentSince Aug 27, 2010 Accepting new patients

Locations

1978 Industrial Blvd
Houma, LA 70363
Phone (985) 873-1814

1990 Industrial Blvd
Houma, LA 70363
Phone (985) 868-9300

605 Enterprise Dr
Ste B
Houma, LA 70360
Phone (985) 262-1639

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1184931891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 ANISE ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703607272",
            "telephone_number": "985-860-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 ANISE ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703607272",
            "telephone_number": "985-860-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JAMIE",
        "middle_name": "JO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-02",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA.200368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE JO",
            "last_name": "WALKER",
            "middle_name": "PETRELLA",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.