Jeffrey Grant Walker, OTR.L

Primary specialty

SpecialistTaxonomy code 174400000X

License

OTR 1337 Issued in AR

Practice address

206 Plaza Blvd Ste F
Cabot, AR 72023-3748

Phone

(501) 944-2854

Fax

(501) 286-7958

NPI assigned

Mar 20, 2007

Last updated

Sep 25, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1548385180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 PLAZA BLVD STE F",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720233748",
            "telephone_number": "501-944-2854",
            "fax_number": "501-286-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 PLAZA BLVD STE F",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720233748",
            "telephone_number": "501-944-2854",
            "fax_number": "501-286-7958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JEFFREY",
        "middle_name": "GRANT",
        "name_prefix": "Mr.",
        "credential": "OTR.L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "OTR 1337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136101721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores, Inc. (Vision Center 30-2587)
• Walgreen Co (Walgreens #10059)
• Walk in Faith, PLLC (Cabot Health & Wellness)
• Walker Therapy Clinic, Inc
• Jeffrey Walker, LCSW
• Lindie M Walker, PT
• Tanya Leigh Walker, APRN
• David Wallies
• Walmart Inc. (Walmart Pharmacy 10-2587)
• Walmart Inc. (Walmart Pharmacy 10-6975)

• Specialist in Cabot, AR
• Providers in Cabot, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.