Active NPI
Fabianne L. Walker, MD
- General Practice Physician
- Saint Louis, MO
National Provider Identifier
1457554487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 2008025170
- Practice address
- 3201 Alfred Ave
Saint Louis, MO 63116-1809 - Phone
- (314) 776-4926
- NPI assigned
- Jun 7, 2007
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 2008025170 | MO | Primary |
Addresses
Primary practice location
3201 Alfred Ave
Saint Louis, MO 63116-1809
Mailing address
3201 Alfred Ave
Saint Louis, MO 63116-1809
Phone (314) 776-4926
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BP1-0026461 | Other | INSTITUTIONAL PERMIT |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223251200000",
"number": "1457554487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 ALFRED AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631161809",
"telephone_number": "314-776-4926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 ALFRED AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631161809",
"telephone_number": "314-776-4926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "FABIANNE",
"middle_name": "L.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-07",
"last_updated": "2008-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MO",
"license": "2008025170",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSTITUTIONAL PERMIT",
"identifier": "BP1-0026461",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.