Keisha Walker, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

403587 Issued in OH

Practice address

6397 Valley Ranch Dr
Maple Heights, OH 44137-4776

Phone

(216) 326-2709

NPI assigned

Nov 16, 2014

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1416096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416096000000",
    "number": "1447656657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 VALLEY RANCH DR",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441374776",
            "telephone_number": "216-326-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6397 VALLEY RANCH DR",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441374776",
            "telephone_number": "216-326-2709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KEISHA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-16",
        "last_updated": "2014-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "403587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kandyse Shanell Wagner
• Todd Emmit Wagner, M.D.
• Tyrone L Wagner
• Walgreen Co
• Chudney Walker, LMT
• Briasja Tamar Ware
• Valarie Mechelle Ware, REGISTERED NURSE
• Teresa Marie Warner, RN
• Lashonda Denise Washington, INDEPENDENT PROVIDER
• Lateia Denise Washington

• Registered Nurse in Maple Heights, OH
• Providers in Maple Heights, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2014; 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.