Individual provider Active NPI

Alicia Walker I, RN

  • School Registered Nurse
  • West Winfield, NY
National Provider Identifier
1275091969
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
641553-1 Issued in NY
Practice address
500 Fairground Rd
West Winfield, NY 13491-2006
Phone
(315) 822-2928
Fax
(315) 822-3486
NPI assigned
Mar 12, 2019
Last updated
Mar 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 641553-1 NY Primary

Addresses

Primary practice location

500 Fairground Rd
West Winfield, NY 13491-2006

Mailing address

500 Fairground Rd
West Winfield, NY 13491-2006
Phone (315) 822-2928

Other identifiers 1

IdentifierTypeStateIssuer
0000MedicaidNY

Other names 1

  • Mrs. Alicia M Walker Former name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
641553-1NYMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgewater West Winfield CSD Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1275091969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FAIRGROUND RD",
            "city": "WEST WINFIELD",
            "state": "NY",
            "postal_code": "134912006",
            "telephone_number": "315-822-2928",
            "fax_number": "315-822-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FAIRGROUND RD",
            "city": "WEST WINFIELD",
            "state": "NY",
            "postal_code": "134912006",
            "telephone_number": "315-822-2928",
            "fax_number": "315-822-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ALICIA",
        "name_suffix": "I",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "641553-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "WALKER",
            "middle_name": "M",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Winfield, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.