Active NPI
Robert David Walker, CRNP
- Family Nurse Practitioner
- Warren, OH
National Provider Identifier
1447357454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.00123
- Practice address
- 413 Broadway Ave SE
Warren, OH 44484-4609 - Phone
- (330) 219-4249
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.00123 | OH | Primary |
Addresses
Primary practice location
413 Broadway Ave SE
Warren, OH 44484-4609
Mailing address
413 Broadway Ave SE
Warren, OH 44484-4609
Phone (330) 219-4249
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APRN.CNP.001.23 | Other | OH | LICENSE NUMBER |
| CTP-213 RX | Other | OH | CERTIFICATE TO PRESCRIBE |
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)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.00123 | OH | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1447357454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 BROADWAY AVE SE",
"city": "WARREN",
"state": "OH",
"postal_code": "444844609",
"telephone_number": "330-219-4249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 BROADWAY AVE SE",
"city": "WARREN",
"state": "OH",
"postal_code": "444844609",
"telephone_number": "330-219-4249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "ROBERT",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.00123",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "APRN.CNP.001.23",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFICATE TO PRESCRIBE",
"identifier": "CTP-213 RX",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.