Nicole Rae Walker, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3544 Issued in AZ

Practice address

4344 W Bell Rd
Suite 102
Glendale, AZ 85308-3589

Phone

(602) 588-4040

Fax

(602) 942-2391

NPI assigned

Oct 17, 2006

Last updated

Nov 11, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Arizona Primary Care Physicians, LLC

  • Family Medicine Physician
  • Glendale, AZ
  • NPI 1033523949
  NPD (past)
• Joel S Sellers DO LLC

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Glendale, AZ
  • NPI 1053476853
  NPD (past)
• Norterra Family Medicine, PLLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1700034956
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447200000000",
    "number": "1225118607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 W WHISPERING WIND DR",
            "address_2": "STE 173",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850852869",
            "telephone_number": "623-565-5060",
            "fax_number": "623-565-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4344 W BELL RD",
            "address_2": "SUITE 102",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083589",
            "telephone_number": "602-588-4040",
            "fax_number": "602-942-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "NICOLE",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2015-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "3544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #03385)
• Walgreen Co (Walgreens #03003)
• Walgreens (Walgreens pharmacy)
• Jodi Nichole Walker
• Lise Carol Walker, M.D.
• Raechl Walker
• Robert Stephen Walker, MD
• Steven M Walker, MPT
• Terence Tarell Walker, STUDENT
• Alyssa Walla, RBT

• Physician Assistant in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.