Individual provider Active NPI

Jennifer D. Walker, APRN

  • Family Nurse Practitioner
  • Edisto Island, SC
National Provider Identifier
1437411097
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17830 Issued in SC
Practice address
134 Jungle Rd
Edisto Island, SC 29438-3005
Phone
(843) 897-7757
NPI assigned
Jun 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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 17830 SC Primary

Addresses

Primary practice location

134 Jungle Rd
Edisto Island, SC 29438-3005

Mailing address

134 Jungle Rd
Edisto Island, SC 29438-3005
Phone (843) 897-7757

Other identifiers 2

IdentifierTypeStateIssuer
NP2082MedicaidSC
P01396745OtherSCRR MEDICARE

Other names 1

  • Jennifer Pearl Darden Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20120820000205 SC Practitioner - Nurse Practitioner 5698921062 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Liberty Doctors LLCGroup PAC ID 0840466017, 44 clinicians

Practice addresses (Care Compare)

134 Jungle Rd
Edisto Island, SC 29438-3005
Phone (843) 225-8320

418 Folly Rd
Ab
Charleston, SC 29412-2625
Phone (843) 225-8320

Hospital & facility affiliations

  • Bon Secours-St Francis Xavier Hospital Hospital, Charleston, SC, CCN 420065

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17830SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SC House Calls Inc CurrentSince Feb 18, 2019 Accepting new patients
SC House Calls Inc CurrentSince Feb 18, 2019 Accepting new patients
Liberty Doctors LLC CurrentSince Oct 1, 2024 Accepting new patients
Edisto Medicine CurrentSince Mar 1, 2026 Accepting new patients
Liberty Doctors, LLC CurrentSince Oct 1, 2024 Accepting new patients
Liberty Doctors LLC Past Accepting new patients

Locations

418 Folly Rd
#A
Charleston, SC 29412
Phone (843) 225-8320

1624 Main St
Columbia, SC 29201
Phone (803) 454-0365

111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910

134 Jungle Rd
Edisto Island, SC 29438
Phone (843) 225-8320

110 Springhall Dr
Ste A
Goose Creek, SC 29445
Phone (843) 973-8503

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFJAED/Endpoint/EFJAED

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1437411097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 JUNGLE RD",
            "city": "EDISTO ISLAND",
            "state": "SC",
            "postal_code": "294383005",
            "telephone_number": "843-897-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 JUNGLE RD",
            "city": "EDISTO ISLAND",
            "state": "SC",
            "postal_code": "294383005",
            "telephone_number": "843-897-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JENNIFER",
        "middle_name": "D.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "17830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP2082",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01396745",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DARDEN",
            "middle_name": "PEARL",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edisto Island, SC

Sources for this page

Verify at the official NPI Registry.