Active NPI
Jeff P Walker, CST
- Surgical Technologist
- Las Vegas, NV
National Provider Identifier
1306143029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- License
- 116885
- Practice address
- 9499 W Charleston Blvd
Suite 250
Las Vegas, NV 89117-7150 - Phone
- (702) 933-9600
- Fax
- (702) 933-9601
- NPI assigned
- Feb 15, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | 116885 | NV | Primary |
Addresses
Primary practice location
9499 W Charleston Blvd
Suite 250
Las Vegas, NV 89117-7150
Mailing address
9499 W Charleston Blvd
Suite 250
Las Vegas, NV 89117-7150
Phone (702) 933-9600
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
| License | State | Type | Specialty |
|---|---|---|---|
| 116885 | NV | MD | Surgical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297728000000",
"number": "1306143029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9499 W CHARLESTON BLVD",
"address_2": "SUITE 250",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891177150",
"telephone_number": "702-933-9600",
"fax_number": "702-933-9601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9499 W CHARLESTON BLVD",
"address_2": "SUITE 250",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891177150",
"telephone_number": "702-933-9600",
"fax_number": "702-933-9601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "JEFF",
"middle_name": "P",
"credential": "CST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-15",
"last_updated": "2011-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "NV",
"license": "116885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.