Active NPI
Frederick Allen Walker, D.O.
- Psychiatry Physician
- Louisville, KY
National Provider Identifier
1376823443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 02907
- Practice address
- 11405 Park Rd Ste 160
Louisville, KY 40223-2427 - Phone
- (502) 384-2343
- Fax
- (502) 365-2937
- NPI assigned
- Aug 22, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 02907 | KY | Primary |
Addresses
Primary practice location
11405 Park Rd Ste 160
Louisville, KY 40223-2427
Mailing address
PO Box 23509
Louisville, KY 40223-0509
Phone (502) 384-2343
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02907 | KY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538956800000",
"number": "1376823443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23509",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402230509",
"telephone_number": "502-384-2343",
"fax_number": "502-365-2937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11405 PARK RD STE 160",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402232427",
"telephone_number": "502-384-2343",
"fax_number": "502-365-2937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "FREDERICK",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-22",
"last_updated": "2018-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KY",
"license": "02907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.