Justin Charles Walker, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

100 S Main St
Gardner Webb University Athletic Training
Boiling Springs, NC 28017-9797

Phone

(704) 406-4356

Fax

(704) 406-3503

NPI assigned

Aug 1, 2011

Last updated

Aug 1, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1285912824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 S LAFAYETTE ST APT 16",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281505485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MAIN ST",
            "address_2": "GARDNER WEBB UNIVERSITY ATHLETIC TRAINING",
            "city": "BOILING SPRINGS",
            "state": "NC",
            "postal_code": "280179797",
            "telephone_number": "704-406-4356",
            "fax_number": "704-406-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JUSTIN",
        "middle_name": "CHARLES",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-01",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional Pharmacy Inc (Professional Pharmacy)
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• Brooke Weatherford Smithers, RN, MSN
• Kristen Elisabeth Stewart
• Logan Elizabeth Turner, PA-C
• Tina Hawkins Wesson, PHARMD
• Kristine Michele Ziglar, ATC
• Kyle Isaac Zimmerman, ATC

• Athletic Trainer in Boiling Springs, NC
• Providers in Boiling Springs, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.