Judy R Walling, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN 69 Issued in SC

Practice address

171 Ashley Ave
Charleston, SC 29425-0001

Phone

(843) 792-1414

NPI assigned

Aug 29, 2006

Last updated

Sep 6, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jwalling8493@direct.musc.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University Medical Associates of the Medical University of South Carol

  dba MUSC Physicians

  • Multi-Specialty Clinic/Center
  • Charleston, SC
  • NPI 1043241110
  NPD
• University Medical Associates of the Medical University of South Carol

  dba MUSC Physicians

  • Internal Medicine Physician
  • Charleston, SC
  • NPI 1750432704

  Nurse Practitioner

  NPD
• University Medical Associates of the Medical University of South Carol

  dba MUSC PHysicians

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1982678496

  Nurse Practitioner

  NPD
• Lowcountry Medical Associates

  dba Goose Creek Family Practice

  • Family Medicine Physician
  • Goose Creek, SC
  • NPI 1215987474
  NPD (past)
• Lowcountry Medical Associates

  dba Moncks Corner Primary Care

  • Internal Medicine Physician
  • Moncks Corner, SC
  • NPI 1790735975

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315267200000",
    "number": "1194833053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751461",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751461",
            "telephone_number": "843-792-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 ASHLEY AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294250001",
            "telephone_number": "843-792-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLING",
        "first_name": "JUDY",
        "middle_name": "R",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2011-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "APN 69",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0900",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Micah Jordan Wallace, PHARM.D.
• Victoria Catherine Wallace
• Wilber Wallace
• Kaylie Waller
• Kaitlin Wallick, LPC
• Elizabeth Mary Wallis, M.D.
• Amy Middleton Wallman, RPH
• Amanda Walsh, MD
• David J Walsh, MD
• Dustin Walsh, RN, SRNA

• Nurse Practitioner in Charleston, SC
• Providers in Charleston, SC by specialty
• Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.