Active NPI
Priscilla Joyce Walkup, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Charleston, WV
National Provider Identifier
1194997536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 21258
- Practice address
- 3110 Maccorkle Ave, S.E.
Room 2042 Robert C. Byrd BLD
Charleston, WV 25304-1833 - Phone
- (304) 388-9953
- Fax
- (304) 388-9955
- NPI assigned
- Mar 26, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 21258 | WV | Primary |
Addresses
Primary practice location
3110 Maccorkle Ave, S.E.
Room 2042 Robert C. Byrd BLD
Charleston, WV 25304-1833
Mailing address
1911 Oakridge Dr
Charleston, WV 25311-1325
Phone (304) 388-9953
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206489600000",
"number": "1194997536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1911 OAKRIDGE DR",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253111325",
"telephone_number": "304-388-9953",
"fax_number": "304-388-9955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3110 MACCORKLE AVE, S.E.",
"address_2": "ROOM 2042 ROBERT C. BYRD BLD",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253041833",
"telephone_number": "304-388-9953",
"fax_number": "304-388-9955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKUP",
"first_name": "PRISCILLA",
"middle_name": "JOYCE",
"name_prefix": "Mrs.",
"credential": "C.R.N.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-26",
"last_updated": "2008-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WV",
"license": "21258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.