Active NPI
Stacey Lee Walker, R.D.H.
- Dental Hygienist
- Gilbert, AZ
National Provider Identifier
1376620104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H4958
- Practice address
- 2854 E Megan St
Gilbert, AZ 85296-5181 - Phone
- (602) 750-9938
- Fax
- (480) 994-1193
- NPI assigned
- Nov 1, 2006
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H4958 | AZ | Primary |
Addresses
Primary practice location
2854 E Megan St
Gilbert, AZ 85296-5181
Mailing address
2854 E Megan St
Gilbert, AZ 85296-5181
Phone (602) 750-9938
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 |
|---|---|---|---|
| H4958 | AZ | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376620104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2854 E MEGAN ST",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852965181",
"telephone_number": "602-750-9938",
"fax_number": "480-994-1193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2854 E MEGAN ST",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852965181",
"telephone_number": "602-750-9938",
"fax_number": "480-994-1193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "STACEY",
"middle_name": "LEE",
"name_prefix": "Miss",
"credential": "R.D.H.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "AZ",
"license": "H4958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.