Active NPI
Caitlin Shea Walker, NP-C
- Family Nurse Practitioner
- Asheboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F01201734
- Practice address
- 542 White Oak St
Asheboro, NC 27203-4772 - Phone
- (336) 610-3720
- NPI assigned
- Feb 7, 2020
- Last updated
- Aug 25, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F01201734 | NC | Primary |
Addresses
Primary practice location
542 White Oak St
Asheboro, NC 27203-4772
Mailing address
1412 Adams Farm Pkwy Apt F
Greensboro, NC 27407-5131
Phone (614) 638-6517
Other practice location 1
2630 Willard Dairy Rd Ste 301
High Point, NC 27265-8354
Phone (336) 547-1752
Other names 1
- Caitlin Shea Bumbledare
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cbumbledare315658@direct.conehealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
618 S Main St
Reidsville, NC 27320-5020
Phone (336) 951-4823
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F01201734 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Moses H. Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| The Moses H. Cone Memorial Hospital Operating Corporation | Past | Accepting new patients |
Locations
542 White Oak St
Asheboro, NC 27203
Phone (336) 610-3720
1236 Huffman Mill Rd
Ste 130
Burlington, NC 27215
Phone (336) 438-1060
1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700
1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000
3518 Drawbridge Pkwy
Ste 220
Greensboro, NC 27410
Phone (336) 890-3020
509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970
618 S Main St
Reidsville, NC 27320
Phone (336) 832-7965
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cone Health Sickle Cell Center
- Internal Medicine Physician
- Greensboro, NC
- NPI 1013265909
-
dba Center for Maternal Fetal Care
- Maternal & Fetal Medicine Physician
- Greensboro, NC
- NPI 1891351847
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greensboro, NC
- NPI 1477591055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1205468238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 ADAMS FARM PKWY APT F",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274075131",
"telephone_number": "614-638-6517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "542 WHITE OAK ST",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272034772",
"telephone_number": "336-610-3720"
}
],
"practiceLocations": [
{
"address_1": "2630 Willard Dairy Rd Ste 301",
"address_purpose": "LOCATION",
"city": "High Point",
"state": "NC",
"postal_code": "272658354",
"country_code": "US",
"telephone_number": "336-547-1752",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALKER",
"first_name": "CAITLIN",
"middle_name": "SHEA",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-07",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "F01201734",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cbumbledare315658@direct.conehealth.com",
"affiliation": "N",
"endpointDescription": "cone health direct address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "542 White Oak St",
"city": "Asheboro",
"state": "NC",
"country_code": "US",
"postal_code": "272034772",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CAITLIN",
"last_name": "BUMBLEDARE",
"middle_name": "SHEA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Asheboro, NC
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- Gurmukh S Walha, MD
- Sukhwant Kaur Walha, M.D.
- Joshua J Walker, DMD
- William Martin Walker, O. D.
- Wallace Carrillo-Medina DMD Ms PA
- Wallace Carrillo-Medina DMD PA
- Kaitlin Marie Walsh, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.