Individual provider Active NPI

Ejiria Ti-Ish Walker

  • Wound Care Registered Nurse
  • Phoenix, AZ
National Provider Identifier
1336002583
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
License
307504 Issued in AZ
Practice address
6520 W Toronto Way
Phoenix, AZ 85043-8533
Phone
(602) 775-6424
Fax
(480) 781-4566
NPI assigned
Dec 4, 2025
Last updated
Dec 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 307504 AZ
Wound Care Registered Nurse 163WW0000X 307504 AZ Primary
Licensed Practical Nurse 164W00000X LP50276 AZ

Addresses

Primary practice location

6520 W Toronto Way
Phoenix, AZ 85043-8533

Mailing address

6520 W Toronto Way
Phoenix, AZ 85043-8533
Phone (602) 775-6424

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Thegenxnurse@gmail.com Direct

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
307504AZMDRegistered Nurse
LP50276AZMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1764806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1336002583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 W TORONTO WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850438533",
            "telephone_number": "602-775-6424",
            "fax_number": "480-781-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6520 W TORONTO WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850438533",
            "telephone_number": "602-775-6424",
            "fax_number": "480-781-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "EJIRIA",
        "middle_name": "TI-ISH",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-04",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "307504",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "AZ",
            "license": "307504",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LP50276",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Thegenxnurse@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Encrypted Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PHI Information",
            "address_1": "6520 W Toronto Way",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850438533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.