Active NPI
Ejiria Ti-Ish Walker
- Wound Care Registered Nurse
- Phoenix, AZ
National Provider Identifier
1336002583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Wound Care Registered Nurse
- License
- 307504
- 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, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 307504 | AZ | MD | Registered Nurse |
| LP50276 | AZ | MD | Licensed 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.