Individual provider Active NPI

Courtney A Walker-Borch, FNP

  • Family Nurse Practitioner
  • Burlington, VT
National Provider Identifier
1457767410
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101-0105515 Issued in VT
Practice address
1127 North Ave Ste 41
Burlington, VT 05408
Phone
(802) 846-8100
Fax
(802) 846-8107
NPI assigned
Jul 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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 101-0105515 VT Primary

Addresses

Primary practice location

1127 North Ave Ste 41
Burlington, VT 05408

Mailing address

600 Blair Park Rd Ste 285
Williston, VT 05495-7586
Phone (802) 288-1140

Other identifiers 1

IdentifierTypeStateIssuer
101.0105515MedicaidVT

Other names 1

  • Courtney A Walker Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cwalker@pchpmd.medentdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20140807000122 VT Practitioner - Nurse Practitioner 2163649682 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101-0105515VTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Health Partners - Vermont LLP CurrentSince Sep 17, 2018 Accepting new patients
Primary Care Health Partners - New York LLP CurrentSince Jul 2, 2023 Accepting new patients
Community Health Centers of Burlington Inc CurrentSince May 2, 2016 Accepting new patients
Community Health Centers of Burlington Inc CurrentSince May 2, 2016 Accepting new patients
Primary Care Health Partners Past Accepting new patients

Locations

617 Riverside Ave
Burlington, VT 05401
Phone (802) 264-8158

1127 North Ave
Ste 1
Burlington, VT 05408
Phone (802) 846-8100

1127 North Ave
Ste 41
Burlington, VT 05408
Phone (802) 846-8100

51 Timber Ln
South Burlington, VT 05403
Phone (802) 864-0521

66 Knight Ln
Ste 10
Williston, VT 05495
Phone (802) 872-4327

600 Blair Park Rd
Ste 285
Williston, VT 05495
Phone (802) 288-1140

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1457767410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BLAIR PARK RD STE 285",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957586",
            "telephone_number": "802-288-1140",
            "fax_number": "802-288-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 NORTH AVE STE 41",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "05408",
            "telephone_number": "802-846-8100",
            "fax_number": "802-846-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER-BORCH",
        "first_name": "COURTNEY",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101-0105515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101.0105515",
            "state": "VT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwalker@pchpmd.medentdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1127 North Ave Ste 41",
            "city": "Burlington",
            "state": "VT",
            "country_code": "US",
            "postal_code": "05408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "WALKER",
            "middle_name": "A",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.