Individual provider Active NPI

Elizabeth G. Walkup, APRN

  • Family Nurse Practitioner
  • Franklin, KY
National Provider Identifier
1356439301
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3002930 Issued in KY
Practice address
119 Memorial Dr
Franklin, KY 42134
Phone
(270) 586-9533
Fax
(270) 586-0123
NPI assigned
Oct 11, 2006
Last updated
Aug 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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 3002930 KY Primary

Addresses

Primary practice location

119 Memorial Dr
Franklin, KY 42134

Mailing address

201 Park St
Bowling Green, KY 42101-1759
Phone (270) 586-9533

Other identifiers 1

IdentifierTypeStateIssuer
78029303MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20070412000531 KY Practitioner - Nurse Practitioner 6709981186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Graves Gilbert Clinic PLLCGroup PAC ID 4082511167, 207 clinicians

Practice addresses (Care Compare)

201 Park St
Bowling Green, KY 42101-1742
Phone (270) 781-5111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2930KYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Graves Gilbert Clinic PLLC CurrentSince Jun 1, 2018 Accepting new patients
Graves Gilbert Clinic PLLC CurrentSince Jun 1, 2018 Accepting new patients
Park Street Partners, L.L.P. Past Accepting new patients

Locations

1225 Fairway St
Bowling Green, KY 42103
Phone (270) 781-3910

201 Park St
Bowling Green, KY 42101
Phone (270) 651-2229

1112 S Main St
Franklin, KY 42134
Phone (270) 586-1969

119 Memorial Dr
Franklin, KY 42134
Phone (270) 586-9533

Interoperability endpoints

  • Direct secure messaging: elizabethwalkup@ggc.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1356439301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PARK ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011759",
            "telephone_number": "270-586-9533",
            "fax_number": "270-586-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 MEMORIAL DR",
            "city": "FRANKLIN",
            "state": "KY",
            "postal_code": "42134",
            "telephone_number": "270-586-9533",
            "fax_number": "270-586-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKUP",
        "first_name": "ELIZABETH",
        "middle_name": "G.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3002930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78029303",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, KY

Sources for this page

Verify at the official NPI Registry.