Individual provider Active NPI

Tanza L Walker, ARNP

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1396204871
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11001128 Issued in FL
Practice address
6015 118TH St
Jacksonville, FL 32244-3703
Phone
(904) 633-0610
NPI assigned
Mar 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11001128 FL Primary
Primary Care Nurse Practitioner 363LP2300X APRN11001128 FL

Addresses

Primary practice location

6015 118TH St
Jacksonville, FL 32244-3703

Mailing address

1771 Wild Dunes Cir
Orange Park, FL 32065-2627
Phone (904) 424-3037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190411001458 FL Practitioner - Nurse Practitioner 9234470683 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monogram Health Professional Services of Florida LLCGroup PAC ID 0244608149, 41 clinicians

Practice addresses (Care Compare)

Jacksonville, FL 32256
Phone (855) 212-2273

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Feb 7, 2022 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Feb 7, 2022 Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
Monogram Health Professional Services of Florida LLC Family CurrentSince Jul 7, 2025 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Feb 7, 2022 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Past Accepting new patients
University of Florida Jacksonville Physicians, Inc. Past Accepting new patients

Locations

1833 Boulevard
Jacksonville, FL 32206
Phone (904) 244-3289

4720 Salisbury Rd
Jacksonville, FL 32256
Phone (866) 932-2777

1255 Lila St
Jacksonville, FL 32208
Phone (904) 244-5700

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

6015 118th St
Jacksonville, FL 32244
Phone (904) 633-0610

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

Interoperability endpoints

  • Direct secure messaging: tanza.walker.2@22854.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1396204871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 WILD DUNES CIR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320652627",
            "telephone_number": "904-424-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 118TH ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322443703",
            "telephone_number": "904-633-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "TANZA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-14",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11001128",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11001128",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.