Individual provider Active NPI

Emily Gibson Walter, ANP

  • Adult Health Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1235416272
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5005391 Issued in NC
Practice address
7780 Brier Creek Pkwy Ste 200
Raleigh, NC 27617-7869
Phone
(919) 596-3400
Fax
(919) 596-3499
NPI assigned
Nov 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 5005391 NC Primary

Addresses

Primary practice location

7780 Brier Creek Pkwy Ste 200
Raleigh, NC 27617-7869

Mailing address

5213 S Alston Ave
Durham, NC 27713-4430
Phone (919) 620-4855

Other names 1

  • Emily Gibson Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140217001227 NC Practitioner - Nurse Practitioner 4587800263 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Duke University Health System, IncGroup PAC ID 2567372345, 1,083 clinicians

Practice addresses (Care Compare)

4709 Creekstone Dr
Durham, NC 27703-9822
Phone (919) 684-8111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. Nurse Practitioner CurrentSince Aug 3, 2021 Accepting new patients
Duke University Health System, Inc. CurrentSince Aug 3, 2021 Accepting new patients
Brier Creek Integrated Pain & Spine PLLC CurrentSince Nov 13, 2013 Accepting new patients
Duke University Health System, Inc. Nurse Practitioner Current Accepting new patients
Duke University Health System, Inc. Nurse Practitioner Past Accepting new patients

Locations

5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

234 Crooked Creek Pkwy
Durham, NC 27713
Phone (919) 385-3000

7780 Brier Creek Pkwy
Raleigh, NC 27617

7780 Brier Creek Pkwy
Ste 200
Raleigh, NC 27617
Phone (919) 246-7266

121 Enterprise Dr
Rocky Mount, NC 27804
Phone (252) 200-5180

Interoperability endpoints

  • Direct secure messaging: ewalter496727@direct.medicine.duke.edu

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1235416272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5213 S ALSTON AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277134430",
            "telephone_number": "919-620-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7780 BRIER CREEK PKWY STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276177869",
            "telephone_number": "919-596-3400",
            "fax_number": "919-596-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "EMILY",
        "middle_name": "GIBSON",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-04",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5005391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "GIBSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.