Individual provider Active NPI

Janet Walker, M.D.

  • Family Medicine Physician
  • Spokane, WA
National Provider Identifier
1467675892
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00045816 Issued in WA
Practice address
421 S Division St Ste 2
Spokane, WA 99202-1331
Phone
(509) 474-5858
Fax
(509) 227-7070
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00045816 WA Primary

Addresses

Primary practice location

421 S Division St Ste 2
Spokane, WA 99202-1331

Mailing address

PO Box 421
Liberty Lake, WA 99019-0421
Phone (866) 747-2455

Other identifiers 1

IdentifierTypeStateIssuer
8445546MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jwalker294454@wm.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060119000172 WA Practitioner - Family Practice 4880618636 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00045816WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington CurrentSince Jun 14, 2013 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Nov 16, 2005 Accepting new patients
Kaiser Foundation Health Plan of Washington Family Medicine CurrentSince Nov 16, 2005 Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
Providence Health & Services Washington Family Medicine CurrentSince Jun 14, 2013 Accepting new patients

Locations

1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701

19379 7th Ave NE
Poulsbo, WA 98370
Phone (360) 394-1000

421 S Division St
#2
Spokane, WA 99202
Phone (509) 474-5858

101 W 8th Ave
Ste 100
Spokane, WA 99204
Phone (509) 474-2880

551 E Hawthorne Rd
Spokane, WA 99218
Phone (509) 252-1900

16528 E Desmet Ct
Ste B3100
Spokane Valley, WA 99216
Phone (509) 944-9440

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Interoperability endpoints

  • Direct secure messaging: jwalker294454@wm.providencedirect.org

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1467675892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990190421",
            "telephone_number": "866-747-2455",
            "fax_number": "509-227-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 S DIVISION ST STE 2",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021331",
            "telephone_number": "509-474-5858",
            "fax_number": "509-227-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JANET",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00045816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8445546",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwalker294454@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "1551 EAST HAWTHORNE RD",
            "city": "SPOKANE",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992181417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.