Individual provider Active NPI

Cynthia Walker, APN

  • Family Nurse Practitioner
  • Savoy, IL
National Provider Identifier
1215384573
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25693 Issued in TN
Practice address
206 Burwash Ave
Savoy, IL 61874-9510
Phone
(217) 356-3400
Fax
(217) 866-0122
NPI assigned
May 17, 2016
Last updated
Sep 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 209014228 IL
Family Nurse Practitioner 363LF0000X 25693 TN Primary

Addresses

Primary practice location

206 Burwash Ave
Savoy, IL 61874-9510

Mailing address

1120 Dow St
Murfreesboro, TN 37130-2486
Phone (615) 603-2272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20201202003472 TN Practitioner - Nurse Practitioner 1557641834 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25693TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Health Medical Inc Family CurrentSince Sep 25, 2020 Accepting new patients

Locations

1120 Dow St
Murfreesboro, TN 37130
Phone (615) 603-2272

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1215384573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 DOW ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302486",
            "telephone_number": "615-603-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 BURWASH AVE",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618749510",
            "telephone_number": "217-356-3400",
            "fax_number": "217-866-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "CYNTHIA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209014228",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "25693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savoy, IL

Sources for this page

Verify at the official NPI Registry.