Individual provider Active NPI

Sarah Beth Walker

  • Family Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1376127001
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5014756 Issued in NC
Practice address
9424 Falls of Neuse Rd Ste 103
Raleigh, NC 27615-2619
Phone
(252) 904-4736
NPI assigned
May 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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 5014756 NC Primary

Addresses

Primary practice location

9424 Falls of Neuse Rd Ste 103
Raleigh, NC 27615-2619

Mailing address

9424 Falls of Neuse Rd Ste 103
Raleigh, NC 27615-2619
Phone (252) 904-4736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 25, 2024 through Nov 25, 2026

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1376127001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9424 FALLS OF NEUSE RD STE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152619",
            "telephone_number": "252-904-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9424 FALLS OF NEUSE RD STE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152619",
            "telephone_number": "252-904-4736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "SARAH",
        "middle_name": "BETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-10",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5014756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.