Kayla Sholar Walker, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

220984 Issued in NC

Practice address

110 Eastwood Dr
Wallace, NC 28466-9201

Phone

(910) 285-2330

NPI assigned

Sep 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Nurse Practitioner

Education

Brody School of Medicine at East Carolina University, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sandy Shores Medical Center and Urgent CareGroup PAC ID 1658787270, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: kwalker@goshenmedical.cloudcraftdirect.com

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.

• Sandy Shores Medical Center and Urgent Care

  • Urgent Care Clinic/Center
  • Surf City, NC
  • NPI 1821681271
  Medicare reassignment Care Compare group NPD Authorized official
• Goshen Medical Center, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Kenansville, NC
  • NPI 1962124974
  Medicare reassignment NPD
• Goshen Medical Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Faison, NC
  • NPI 1154378933
  NPD
• Goshen Medical Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Rockingham, NC
  • NPI 1457181323
  NPD
• Sandy Shores Primary Care, PLLC

  • Primary Care Clinic/Center
  • Surf City, NC
  • NPI 1508511767
  NPD

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1548745359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 LIGHT HOUSE RD",
            "city": "WALLACE",
            "state": "NC",
            "postal_code": "284667370",
            "telephone_number": "910-271-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 EASTWOOD DR",
            "city": "WALLACE",
            "state": "NC",
            "postal_code": "284669201",
            "telephone_number": "910-285-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KAYLA",
        "middle_name": "SHOLAR",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "220984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trinity Family Medicine, P.a.
• Olivia Austen Trull, OTR/L
• Urgent Care of Wallace, PLLC
• Wal-Mart Stores East LP
• Walgreen Co.
• Wallace Drug Co Inc
• Wallace Gardens Inc
• Wallace Opco, LLC
• Wallace Urgent Care LLC
• Charles Edward Walton II, PA

• Family Nurse Practitioner in Wallace, NC
• Providers in Wallace, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.