Misty Walker

Key facts

NPI

1336801935

Entity type

Individual (NPI type 1)

Primary specialty

In Home Supportive Care Agency 253Z00000X

Practice address

189 Ivy TRL
Imboden, AR 72434-9449

Phone

(870) 810-4386

NPI assigned

Oct 11, 2021

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 11, 2021.

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1336801935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 IVY TRL",
            "city": "IMBODEN",
            "state": "AR",
            "postal_code": "724349449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 IVY TRL",
            "city": "IMBODEN",
            "state": "AR",
            "postal_code": "724349449",
            "telephone_number": "870-810-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MISTY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Imboden, AR

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• Demi Stephens
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• Judy Kay Swinea, OTR
• Emerald Donna Welch, MHPP
• Brenda Elaine West, RN
• Jackie R White, MD
• Scott Alan Wilbanks, MHPP
• Matthew Emanuel Womack, MHPP

All providers in Imboden, AR · In Home Supportive Care Agency in Arkansas