Active NPI
Monique Renee Walker, RN BSN, SAMFE
- Registered Nurse
- Ft. Gordon, GA
National Provider Identifier
1447922539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 0001213337
- Practice address
- 300 E Hospital Rd
Ft. Gordon, GA 30905 - Phone
- (706) 787-9309
- NPI assigned
- Sep 28, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001213337 | VA | Primary |
Addresses
Primary practice location
300 E Hospital Rd
Ft. Gordon, GA 30905
Mailing address
300 E Hospital Rd
Ft. Gordon, GA 30905
Phone (706) 787-9309
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | DHA | Health Information Exchange (HIE) |
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)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001213337 | VA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1447922539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E HOSPITAL RD",
"city": "FT. GORDON",
"state": "GA",
"postal_code": "30905",
"telephone_number": "706-787-9309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E HOSPITAL RD",
"city": "FT. GORDON",
"state": "GA",
"postal_code": "30905",
"telephone_number": "706-787-9309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "MONIQUE",
"middle_name": "RENEE",
"credential": "RN BSN, SAMFE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-28",
"last_updated": "2021-09-28",
"certification_date": "2021-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001213337",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "DHA",
"affiliation": "N",
"endpointDescription": "Defense Health Agency",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "AHLTA",
"address_1": "1851 Shaffer Dr Apt D",
"city": "Fort Gordon",
"state": "GA",
"country_code": "US",
"postal_code": "309052962",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ft. Gordon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.