Kerry Dale Walker, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-136667 Issued in AL

Practice address

750 Byron Rd
Scottsboro, AL 35769-4051

Phone

(256) 259-8765

Fax

(256) 716-8060

NPI assigned

Jun 23, 2025

Last updated

Jun 23, 2025By the provider in NPPES

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

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MTN Lake Urology PCGroup PAC ID 7315007432, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Highlands Medical Center Hospital, Scottsboro, AL, CCN 010061

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• MTN Lake Urology PC

  • Specialist
  • Scottsboro, AL
  • NPI 1801050364
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HH Health System - Jackson LLC

  dba Highlands Medical Center

  • General Acute Care Hospital
  • Scottsboro, AL
  • NPI 1699444976
  Care Compare affiliation

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1427945476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 BYRON RD",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357694051",
            "telephone_number": "256-259-8765",
            "fax_number": "256-716-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 BYRON RD",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357694051",
            "telephone_number": "256-259-8765",
            "fax_number": "256-716-8060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1608 Glenn Blvd SW",
            "address_purpose": "LOCATION",
            "city": "Fort Payne",
            "state": "AL",
            "postal_code": "359683522",
            "country_code": "US",
            "telephone_number": "256-259-8765",
            "fax_number": "256-716-8060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KERRY",
        "middle_name": "DALE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-136667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Waddell, PHARMD
• Stephanie S Wagener, M.A.
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0712)
• Wal-Mart Stores East, LP (Vision Center 30-0712)
• Gene A Walker
• Tony Benton Wallingsford, HIS
• Laura C Walls, FNP-C
• Elizabeth Fay Wasylow
• Lindsey Watkins, PHARM. D
• Donna Watson, C.R.N.P.

• Family Nurse Practitioner in Scottsboro, AL
• Providers in Scottsboro, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.