Active NPI
Denita Seree Walker
- Personal Care Attendant
- Minneapolis, MN
National Provider Identifier
1306452750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- 2983428700
- Practice address
- 100 S 5TH St Ste 1900
Minneapolis, MN 55402-1267 - Phone
- (763) 501-0792
- NPI assigned
- Sep 21, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 2983428700 | MN | Primary |
Addresses
Primary practice location
100 S 5TH St Ste 1900
Minneapolis, MN 55402-1267
Mailing address
100 S 5TH St Ste 1900
Minneapolis, MN 55402-1267
Phone (763) 501-0792
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2983428700 | Other | MN | PCA |
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 |
|---|---|---|---|
| 2983428700 | MN | MD | Personal Care Attendant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trust Home Care LLC | Personal Care Attendant | Current | Accepting new patients |
Locations
100 S 5th St
Ste 1900
Minneapolis, MN 55402
Phone (612) 236-8911
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.
-
- Personal Care Attendant
- Minneapolis, MN
- NPI 1922614387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1306452750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S 5TH ST STE 1900",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554021267",
"telephone_number": "763-501-0792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S 5TH ST STE 1900",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554021267",
"telephone_number": "763-501-0792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "DENITA",
"middle_name": "SEREE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-21",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "MN",
"license": "2983428700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PCA",
"identifier": "2983428700",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.