Patrick Walker

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

765 Jefferson St S
Lewisburg, WV 24901-2084

Phone

(304) 645-0057

Fax

(304) 645-0077

NPI assigned

Dec 20, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1608422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608422400000",
    "number": "1235725664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 JEFFERSON ST S",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249012084",
            "telephone_number": "304-645-0057",
            "fax_number": "304-645-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 JEFFERSON ST S",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249012084",
            "telephone_number": "304-645-0057",
            "fax_number": "304-645-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "PATRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-20",
        "last_updated": "2020-12-20",
        "certification_date": "2020-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810024363",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lacey Dawn Wagner
• Jeanne Marie Wahl, DO
• Nicole Lea Waid
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Sabrina Walker, FNP-BC
• Kim Walkup
• Laura R Walls
• Robin Blair Walton
• Debra D Ward, LMT

• Personal Care Attendant in Lewisburg, WV
• Providers in Lewisburg, WV by specialty
• Personal Care Attendant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.