Individual provider Active NPI

Frances Diana Walker

  • In Home Supportive Care Agency
  • Talkeetna, AK
National Provider Identifier
1316245517
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
948890 Issued in AK
Practice address
19697 E. Passthebait Ave
Talkeetna, AK 99688-0513
Phone
(907) 841-2077
Fax
(907) 495-3727
NPI assigned
Mar 11, 2011
Last updated
Mar 11, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 948890 AK Primary

Addresses

Primary practice location

19697 E. Passthebait Ave
Talkeetna, AK 99688-0513

Mailing address

PO Box 513
Willow, AK 99688-0513
Phone (907) 841-2077

Other identifiers 2

IdentifierTypeStateIssuer
PENDINGMedicaidAK
948890OtherAKALASKA BUSINESS LICENSE

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

LicenseStateTypeSpecialty
948890AKMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Su-Valley Care Coordination, LLC 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": "1299801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299801600000",
    "number": "1316245517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 513",
            "city": "WILLOW",
            "state": "AK",
            "postal_code": "996880513",
            "telephone_number": "907-841-2077",
            "fax_number": "907-495-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19697 E. PASSTHEBAIT AVE",
            "city": "TALKEETNA",
            "state": "AK",
            "postal_code": "996880513",
            "telephone_number": "907-841-2077",
            "fax_number": "907-495-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "FRANCES",
        "middle_name": "DIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-11",
        "last_updated": "2011-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AK",
            "license": "948890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALASKA BUSINESS LICENSE",
            "identifier": "948890",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Talkeetna, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.