Active NPI
Jasmine Jeterra Walker
- School Social Worker
- Olive Branch, MS
National Provider Identifier
1336716216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- Practice address
- 7286 Saddletrail CV
Olive Branch, MS 38654-8685 - Phone
- (901) 282-8625
- NPI assigned
- Jun 8, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | Primary |
Addresses
Primary practice location
7286 Saddletrail CV
Olive Branch, MS 38654-8685
Mailing address
7286 Saddletrail CV
Olive Branch, MS 38654-8685
Phone (901) 282-8625
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2828625 | Other | TN | PERSONAL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jwlker43@memphis.edu | Direct | University of Memphis |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Memphis | Past | Accepting new patients | |
| University of Memphis | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Nurse Practitioner
- Memphis, TN
- NPI 1891515995
-
- Behavior Analyst
- Memphis, TN
- NPI 1427603554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1336716216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7286 SADDLETRAIL CV",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386548685",
"telephone_number": "901-282-8625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7286 SADDLETRAIL CV",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386548685",
"telephone_number": "901-282-8625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "JASMINE",
"middle_name": "JETERRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-08",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL",
"identifier": "2828625",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jwlker43@memphis.edu",
"affiliation": "Y",
"endpointDescription": "School email",
"affiliationName": "University of Memphis",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4055 North Park Loop",
"address_2": "Suite 1000",
"city": "Memphis",
"state": "TN",
"country_code": "US",
"postal_code": "38152",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Olive Branch, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.