Active NPI
Amy Kathleen Walker
- Speech-Language Pathologist
- Batesville, MS
National Provider Identifier
1316522899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- S4702
- Practice address
- 219 Westmoreland Cir
Batesville, MS 38606-9304 - Phone
- (662) 934-8507
- NPI assigned
- Mar 16, 2021
- Last updated
- Mar 16, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | S4702 | MS | Primary |
Addresses
Primary practice location
219 Westmoreland Cir
Batesville, MS 38606-9304
Mailing address
219 Westmoreland Cir
Batesville, MS 38606-9304
Phone (662) 934-8507
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S4702 | MS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients |
Locations
2500 N State St
Jackson, MS 39216
Phone (601) 815-4775
4400 Old Canton Rd
Fl 3
Jackson, MS 39211
Phone (523) 660-1984
4400 Old Canton Rd
Ste 3RD
Jackson, MS 39211
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615852800000",
"number": "1316522899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 WESTMORELAND CIR",
"city": "BATESVILLE",
"state": "MS",
"postal_code": "386069304",
"telephone_number": "662-934-8507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 WESTMORELAND CIR",
"city": "BATESVILLE",
"state": "MS",
"postal_code": "386069304",
"telephone_number": "662-934-8507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "AMY",
"middle_name": "KATHLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-16",
"last_updated": "2021-03-16",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MS",
"license": "S4702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Alec Tristan Whalen, PMHNP
- Marianne Day Wharton, CFNP
- Elizabeth White
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.