Active NPI
Martha Y Walkup, DO
- Occupational Medicine Physician
- Mount Juliet, TN
National Provider Identifier
1467571216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- DO 0573
- Practice address
- 1578 N Greenhill Rd
Mount Juliet, TN 37122-2454 - Phone
- (615) 509-3366
- Fax
- (615) 773-4502
- NPI assigned
- Mar 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | DO 0573 | TN | Primary |
| Occupational Medicine Physician | 2083X0100X | H2087 DO | TX |
Addresses
Primary practice location
1578 N Greenhill Rd
Mount Juliet, TN 37122-2454
Mailing address
1578 N Greenhill Rd
Mount Juliet, TN 37122-2454
Phone (615) 509-3366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4212957 | Other | TN | BLUE CROSS BLUE SHIELD OF TN |
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
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 573 | TN | MD | Optometrist |
| DO 0573 | TN | MD | Occupational Medicine Physician |
| H2087 DO | TX | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Urgent Care Associates, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Urgent Care Clinic/Center
- Nashville, TN
- NPI 1548258825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298851200000",
"number": "1467571216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1578 N GREENHILL RD",
"city": "MOUNT JULIET",
"state": "TN",
"postal_code": "371222454",
"telephone_number": "615-509-3366",
"fax_number": "615-773-4502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1578 N GREENHILL RD",
"city": "MOUNT JULIET",
"state": "TN",
"postal_code": "371222454",
"telephone_number": "615-509-3366",
"fax_number": "615-773-4502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKUP",
"first_name": "MARTHA",
"middle_name": "Y",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2011-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "TN",
"license": "DO 0573",
"primary": true
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "TX",
"license": "H2087 DO",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF TN",
"identifier": "4212957",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Juliet, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.