Active NPI
Natausha Shauntrece Walker, FNP-C
- Family Nurse Practitioner
- Idabel, OK
National Provider Identifier
1215669189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 208666
- Practice address
- 805 E Washington St
Idabel, OK 74745-3331 - Phone
- (580) 286-1095
- Fax
- (580) 286-3122
- NPI assigned
- Jun 28, 2022
- Last updated
- Apr 10, 2025
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 208666 | OK | Primary |
Addresses
Primary practice location
805 E Washington St
Idabel, OK 74745-3331
Mailing address
1425 E Lincoln Rd Suite B-3
Idabel, OK 74745
Phone (903) 933-6400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- 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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
805 E Washington St
Idabel, OK 74745-3331
Phone (580) 286-1095
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 208666 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stathealth Clinic PLLC | Current | Accepting new patients | |
| Ascension Health and Wellness PLLC | Family | Past | Accepting new patients |
Locations
805 E Washington St
Idabel, OK 74745
Phone (580) 286-1095
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
- threadgill03@scp-ok.direct.office.nextgen.com
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.
-
- Family Nurse Practitioner
- Haworth, OK
- NPI 1891614749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744243200000",
"number": "1215669189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 E LINCOLN RD SUITE B-3",
"city": "IDABEL",
"state": "OK",
"postal_code": "74745",
"telephone_number": "903-933-6400",
"fax_number": "580-286-8287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 E WASHINGTON ST",
"city": "IDABEL",
"state": "OK",
"postal_code": "747453331",
"telephone_number": "580-286-1095",
"fax_number": "580-286-3122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "NATAUSHA",
"middle_name": "SHAUNTRECE",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-28",
"last_updated": "2025-04-10",
"certification_date": "2025-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "208666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idabel, OK
- Ultimate Home Care LLC, Dba Oak View Health Services
- Ultimate Home Care LLC, Dba Oak View Helath Services
- Ultimate Home Care Services, LLC (Oak View Health Services)
- Vamana, Inc. (Tiamo Healthcare)
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0038)
- Walkup Family Medicine Clinic LLC
- Stormy Ray Walkup, D.O.
- Terry Eugene Wallace, CADC
- Jon Christopher Webb, M.D.
- Michael Curtis West Jr., MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.