Individual provider Active NPI

Jennifer Walker, APRN

  • General Practice Registered Nurse
  • Cincinnati, OH
National Provider Identifier
1255057592
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
0032536 Issued in OH
Practice address
3836 Reading Rd
Cincinnati, OH 45229-1535
Phone
(513) 221-2111
NPI assigned
Oct 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 0032536 OH Primary

Addresses

Primary practice location

3836 Reading Rd
Cincinnati, OH 45229-1535

Mailing address

1431 Windwillow Trce
Maineville, OH 45039-5039
Phone (513) 252-9415

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.fullspectrumhealthcenter.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0032536OHMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Full Spectrum Health Center LLC CurrentSince Oct 23, 2022 Accepting new patients

Locations

3836 Reading Rd
Cincinnati, OH 45229
Phone (513) 221-2111

Interoperability endpoints

  • Direct secure messaging: jennifer.walker.1@9187.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/9187/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1255057592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 WINDWILLOW TRCE",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "450395039",
            "telephone_number": "513-252-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3836 READING RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452291535",
            "telephone_number": "513-221-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JENNIFER",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "OH",
            "license": "0032536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.fullspectrumhealthcenter.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "3836 Reading Rd",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452291535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.