Individual provider Active NPI

Lina Elizabeth Walker, FNP-BC

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1417387127
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022002506 Issued in AZ
Practice address
3250 W Lower Buckeye Rd
Phoenix, AZ 85009-6729
Phone
(602) 876-0322
NPI assigned
Nov 15, 2013
Last updated
Nov 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2022002506 AZ Primary
Registered Nurse 163W00000X 26N011083600 NJ
Registered Nurse 163W00000X RN603706 PA

Addresses

Primary practice location

3250 W Lower Buckeye Rd
Phoenix, AZ 85009-6729

Mailing address

4743 N 21St Ave
Phoenix, AZ 85015-3731
Phone (570) 269-6124

Other practice location 1

167 North Main Street
Tuba City, AZ 86045-0600
Phone (928) 283-2781

Other names 1

  • Lina Elizabeth Garcia-Hichez Former name

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

LicenseStateTypeSpecialty
26N011083600NJMDRegistered Nurse
RN603706PAMDRegistered Nurse
2022002506AZMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1417387127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4743 N 21ST AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153731",
            "telephone_number": "570-269-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 W LOWER BUCKEYE RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850096729",
            "telephone_number": "602-876-0322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "167 North Main Street",
            "address_purpose": "LOCATION",
            "city": "Tuba City",
            "state": "AZ",
            "postal_code": "860450600",
            "country_code": "US",
            "telephone_number": "928-283-2781",
            "fax_number": "928-283-2677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "LINA",
        "middle_name": "ELIZABETH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-15",
        "last_updated": "2024-11-01",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "2022002506",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26N011083600",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN603706",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINA",
            "last_name": "GARCIA-HICHEZ",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.