Shannon M Walker, CCMA

Primary specialty

TechnicianTaxonomy code 374700000X

License

CCMA-2262 Issued in VA

Practice address

100 7TH St Ste 104
Portsmouth, VA 23704-4800

Phone

(757) 330-5248

Fax

(757) 330-5290

NPI assigned

Apr 24, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1417744103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 7TH ST STE 104",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237044800",
            "telephone_number": "757-330-5248",
            "fax_number": "757-330-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 7TH ST STE 104",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237044800",
            "telephone_number": "757-330-5248",
            "fax_number": "757-330-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "SHANNON",
        "middle_name": "M",
        "credential": "CCMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "VA",
            "license": "CCMA-2262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dasha K Walker
• Gary J Walker, DMD
• Jordan Brianna Walker, MSA, CSA, CSFA
• Karrie Anne Brondell Walker, D.O.
• Lenoa Walker, N.P
• Skyler David Walker, MD
• Amy Walko
• Michael Anthony Wallace, IDC
• William C Wallace, DO
• Abigail Grace Waller

• Technician in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.