Individual provider Active NPI

Kailea D Walker, ACNP

  • Acute Care Nurse Practitioner
  • Midland, TX
National Provider Identifier
1487119426
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP140292 Issued in TX
Practice address
3300 N a St Ste 110
Midland, TX 79705-5421
Phone
(432) 400-3401
Fax
(432) 400-3402
NPI assigned
Feb 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP140292 TX Primary
Gerontology Nurse Practitioner 363LG0600X AP140292 TX

Addresses

Primary practice location

3300 N a St Ste 110
Midland, TX 79705-5421

Mailing address

3419 22ND St
Lubbock, TX 79410-1334
Phone (806) 796-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190312002352 TX Practitioner - Nurse Practitioner 9032459938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurosurgical Associates, PLLCGroup PAC ID 5890693402, 37 clinicians

Practice addresses (Care Compare)

3300 N a St
BLDG 5 Suite 110
Midland, TX 79705-5457
Phone (432) 400-3401

Hospital & facility affiliations

  • Midland Memorial Hospital Hospital, Midland, TX, CCN 450133
  • Medical Center Hospital Hospital, Odessa, TX, CCN 450132
  • Permian Regional Medical Center Andrews County Ho Hospital, Andrews, TX, CCN 450144

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP140292TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates, PLLC CurrentSince Feb 1, 2022 Accepting new patients
Ector County Hospital District PastSince Feb 1, 2019 Accepting new patients

Locations

3300 N A St
Bldg 5-110
Midland, TX 79705

3300 N A St
Bldg 5
Midland, TX 79705
Phone (432) 400-3401

3300 N A St
Ste 110
Midland, TX 79705
Phone (432) 400-3401

Interoperability endpoints

  • Direct secure messaging: kaileawalker@nhs.allscriptsdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1487119426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 22ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101334",
            "telephone_number": "806-796-3000",
            "fax_number": "806-796-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 N A ST STE 110",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797055421",
            "telephone_number": "432-400-3401",
            "fax_number": "432-400-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KAILEA",
        "middle_name": "D",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP140292",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP140292",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.