Active NPI
Lakeisha L Walker, OT
- Occupational Therapist
- Orange Park, FL
National Provider Identifier
1417162140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 9368
- Practice address
- 1409 Kingsley Ave
Orange Park, FL 32073-4537 - Phone
- (904) 269-4445
- NPI assigned
- May 14, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 9368 | FL | Primary |
Addresses
Primary practice location
1409 Kingsley Ave
Orange Park, FL 32073-4537
Mailing address
1409 Kingsley Ave
Orange Park, FL 32073-4537
Phone (904) 269-4445
Other practice location 1
10660 Saint Augustine Rd
Jacksonville, FL 32257-1076
Phone (904) 262-4600
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 |
|---|---|---|---|
| OT 9368 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638748800000",
"number": "1417162140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1409 KINGSLEY AVE",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734537",
"telephone_number": "904-269-4445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 KINGSLEY AVE",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734537",
"telephone_number": "904-269-4445"
}
],
"practiceLocations": [
{
"address_1": "10660 Saint Augustine Rd",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322571076",
"country_code": "US",
"telephone_number": "904-262-4600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALKER",
"first_name": "LAKEISHA",
"middle_name": "L",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2021-12-06",
"certification_date": "2021-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT 9368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.