Active NPI
Audrey M Walker, NP
- Nurse Practitioner
- Norfolk, VA
National Provider Identifier
1528064334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0024000074
- Practice address
- 5900 Lake Wright Dr
Norfolk, VA 23502-1871 - Phone
- (757) 466-8683
- Fax
- (757) 466-8892
- NPI assigned
- Jun 27, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024000074 | VA | Primary |
Addresses
Primary practice location
5900 Lake Wright Dr
Norfolk, VA 23502-1871
Mailing address
5900 Lake Wright Dr
Suite 300
Norfolk, VA 23502-1871
Phone (757) 213-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528064334 | Medicaid | VA |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024000074 | VA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216166400000",
"number": "1528064334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 LAKE WRIGHT DR",
"address_2": "SUITE 300",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235021871",
"telephone_number": "757-213-5700",
"fax_number": "757-213-5701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 LAKE WRIGHT DR",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235021871",
"telephone_number": "757-466-8683",
"fax_number": "757-466-8892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "AUDREY",
"middle_name": "M",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-27",
"last_updated": "2008-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024000074",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1528064334",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.