Individual provider Active NPI

Priscilla Joyce Walkup, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Charleston, WV
National Provider Identifier
1194997536
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
21258 Issued in WV
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

Updated by the provider on Mar 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.