Wanida Walker, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP9199983 Issued in FL

Practice address

1105 E Kennedy Blvd
Specialty Care Clinic
Tampa, FL 33602-3511

Phone

(813) 307-8064

Fax

(813) 272-7116

NPI assigned

Feb 13, 2017

Last updated

Feb 6, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Department of HealthGroup PAC ID 3072424282, 126 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
• Direct secure messaging: wwalker14273@direct.tgh.org

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.

• Florida Department of Health

  • Public Health or Welfare Agency
  • Tampa, FL
  • NPI 1124090832
  Medicare reassignment Care Compare group NPD
• Florida Department of Health

  dba Levy County Health Department

  • Public Health or Welfare Agency
  • Bronson, FL
  • NPI 1154395390
  NPD
• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1205375045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 E KENNEDY BLVD",
            "address_2": "SPECIALTY CARE CLINIC",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023511",
            "telephone_number": "813-307-8064",
            "fax_number": "813-272-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 E KENNEDY BLVD",
            "address_2": "SPECIALTY CARE CLINIC",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023511",
            "telephone_number": "813-307-8064",
            "fax_number": "813-272-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "WANIDA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-13",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9199983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020124600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven C Walker, PSY.D.
• Tami J Walker, RRT, RPFT
• Thalia Walker, LPN
• Theresa Talley Walker, APRN
• Tiffany Walker, MA, RMHCI, RMFTI
• Yolanda Felicia Walker, MS
• Christine Marie Walko, PHARMD
• Danette Wall, DNP
• Jim Wall
• Madison Wall

• Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.