Organization Active NPI

Walker Wellness LLC

  • Assisted Living Facility
  • Tucson, AZ
National Provider Identifier
1275157182
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WALKER WELLNESS LLC
Practice address
2450 N Palo Dulce Dr
Tucson, AZ 85745-1080
Phone
(520) 258-9351
Fax
(520) 844-9948
NPI assigned
Jun 5, 2020
Last updated
Aug 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Authorized official

Name
Sergio Walker
Title
Owner
Phone
(520) 258-9351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2450 N Palo Dulce Dr
Tucson, AZ 85745-1080

Mailing address

2450 N Palo Dulce Dr
Tucson, AZ 85745-1080

Other identifiers 1

IdentifierTypeStateIssuer
002780MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Walkerwellnessllc@outlook.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1275157182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 N PALO DULCE DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857451080",
            "fax_number": "520-844-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 N PALO DULCE DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857451080",
            "telephone_number": "520-258-9351",
            "fax_number": "520-844-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKER WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-258-9351"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002780",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Walkerwellnessllc@outlook.com",
            "affiliation": "N",
            "address_1": "2450 N Palo Dulce Dr",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857451080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

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