Individual provider Active NPI

Nicole Elizabeth Walton, NP-C

  • Family Nurse Practitioner
  • Jasper, AL
National Provider Identifier
1326557489
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-139343 Issued in AL
Practice address
1800 Birmingham Ave
Jasper, AL 35501-5461
Phone
(205) 384-4585
NPI assigned
Sep 21, 2017
Last updated
Feb 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-139343 AL Primary

Addresses

Primary practice location

1800 Birmingham Ave
Jasper, AL 35501-5461

Mailing address

4710 Longwood Cir
Gardendale, AL 35071-3698
Phone (205) 601-5634

Other practice location 1

292 Bryan Rd
Sumiton, AL 35148-3445
Phone (205) 648-0240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180530002156 AL Practitioner - Nurse Practitioner 2769747476

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
After Hours Clinic Inc CurrentSince Dec 3, 2017 Accepting new patients
After Hours Clinic Inc Sumiton CurrentSince Dec 3, 2017 Accepting new patients

Locations

1800 Birmingham Ave
Jasper, AL 35501
Phone (205) 384-4585

385 Bryan Rd
Ste 140
Sumiton, AL 35148
Phone (205) 648-0240

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1326557489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 LONGWOOD CIR",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350713698",
            "telephone_number": "205-601-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BIRMINGHAM AVE",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355015461",
            "telephone_number": "205-384-4585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "292 Bryan Rd",
            "address_purpose": "LOCATION",
            "city": "Sumiton",
            "state": "AL",
            "postal_code": "351483445",
            "country_code": "US",
            "telephone_number": "205-648-0240",
            "fax_number": "205-648-0246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTON",
        "first_name": "NICOLE",
        "middle_name": "ELIZABETH",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-21",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-139343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

Verify at the official NPI Registry.