Individual provider Active NPI

Diane Walker, APRN

  • Family Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1427467422
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN816013 Issued in NV
Practice address
2644 White Pine Dr
Henderson, NV 89074
Phone
(972) 765-2039
NPI assigned
Aug 5, 2014
Last updated
Aug 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN816013 NV Primary

Addresses

Primary practice location

2644 White Pine Dr
Henderson, NV 89074

Mailing address

2644 White Pine Dr
Henderson, NV 89074
Phone (972) 765-2039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210813002688 TX Practitioner - Nurse Practitioner 7618197815 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eclipse Clinic PLLCGroup PAC ID 9032512272, 4 clinicians

Practice addresses (Care Compare)

1006 Legacy Ranch Rd
Suite 104
Waxahachie, TX 75165-1293
Phone (817) 526-4604

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN816013NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ellis County Coalition for Health Options CurrentSince Dec 2, 2022 Accepting new patients
Ellis County Coalition for Health Options CurrentSince Dec 2, 2022 Accepting new patients
Eclipse Clinic PLLC CurrentSince Jan 6, 2025 Accepting new patients
Beulah Family Clinic Professional Limited Liability Company CurrentSince Sep 23, 2024 Accepting new patients
AIDS Healthcare Foundation Texas Inc CurrentSince Jul 28, 2021 Accepting new patients
AIDS Healthcare Foundation Texas Inc PastSince Jul 28, 2021 Accepting new patients

Locations

6255 W Sunset Blvd
Fl 21
Los Angeles, CA 90028
Phone (323) 860-5200

7777 Forest Ln
Ste B122
Dallas, TX 75230
Phone (972) 383-1060

1534 N Hampton Rd
Ste 100
Desoto, TX 75115
Phone (469) 941-4029

400 N Beach St
Ste 104
Ft Worth, TX 76111
Phone (817) 831-1750

1200 Binz St
Ste 1040
Houston, TX 77004
Phone (713) 520-2328

1006 Legacy Ranch Rd
Ste 104
Waxahachie, TX 75165
Phone (817) 526-4604

411 E Jefferson St
Waxahachie, TX 75165
Phone (972) 923-2440

572 Coleman St
Waxahachie, TX 75165
Phone (972) 923-2440

Interoperability endpoints

  • Direct secure messaging: diane.walker.p1@direct.hopehealthtx.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/22507/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/BFGEDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/FHCCDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/FHCCDD/Endpoint/FHCCDD

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1427467422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2644 WHITE PINE DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89074",
            "telephone_number": "972-765-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2644 WHITE PINE DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89074",
            "telephone_number": "972-765-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "DIANE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN816013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.