Individual provider Active NPI

Martha Y Walkup, DO

  • Occupational Medicine Physician
  • Mount Juliet, TN
National Provider Identifier
1467571216
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
DO 0573 Issued in TN
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

Updated by the provider on Feb 28, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4212957OtherTNBLUE 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

LicenseStateTypeSpecialty
573TNMDOptometrist
DO 0573TNMDOccupational Medicine Physician
H2087 DOTXMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.