Individual provider Active NPI

Jeanne Walker

  • Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1477828895
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
478128-1 Issued in NY
Practice address
10001 Flatlands Ave
Medical Office-Room 319
Brooklyn, NY 11236-2615
Phone
(718) 927-5228
NPI assigned
Mar 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 478128-1 NY Primary

Addresses

Primary practice location

10001 Flatlands Ave
Medical Office-Room 319
Brooklyn, NY 11236-2615

Mailing address

10001 Flatlands Ave
Medical Office-Room 319
Brooklyn, NY 11236-2615
Phone (718) 927-5228

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

State licenses

LicenseStateTypeSpecialty
478128-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1477828895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 FLATLANDS AVE",
            "address_2": "MEDICAL OFFICE-ROOM 319",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112362615",
            "telephone_number": "718-927-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 FLATLANDS AVE",
            "address_2": "MEDICAL OFFICE-ROOM 319",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112362615",
            "telephone_number": "718-927-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JEANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "478128-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.