Individual provider Active NPI

Laura Walker, DNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • University Place, WA
National Provider Identifier
1548863012
Registry record updated Nov 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61465780 Issued in WA
Practice address
3560 Bridgeport Way W Ste 1-D
University Place, WA 98466-4446
Phone
(253) 260-6754
Fax
(877) 725-4332
NPI assigned
Nov 18, 2020
Last updated
Nov 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61465780 WA Primary

Addresses

Primary practice location

3560 Bridgeport Way W Ste 1-D
University Place, WA 98466-4446

Mailing address

522 W Riverside Ave Ste N
Spokane, WA 99201-0580

Other practice location 1

950 Broadway Ste 404
Tacoma, WA 98402-4454
Phone (425) 640-7009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20231214002149 WA Practitioner - Nurse Practitioner 4284083361 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3560 Bridgeport Way W
Suite 1 D
University Place, WA 98466-4446
Phone (253) 260-6754

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61465780WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tacoma Integrative Psychiatry PLLC Psychiatric/Mental Health CurrentSince Nov 7, 2024 Accepting new patients
Mindful Therapy Group PC Mental Health CurrentSince Dec 1, 2023 Accepting new patients
Alliance for South Sound Health CurrentSince Nov 19, 2023 Accepting new patients

Locations

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

522 W Riverside Ave
Ste N
Spokane, WA 99201
Phone (509) 203-4653

3402 S 19th St
Tacoma, WA 98405
Phone (253) 301-5400

950 Broadway
Ste 404
Tacoma, WA 98402
Phone (206) 774-8557

3560 Bridgeport Way W
Ste 1D-1
University Place, WA 98466
Phone (253) 260-6754

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731110400000",
    "number": "1548863012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 W RIVERSIDE AVE STE N",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 BRIDGEPORT WAY W STE 1-D",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664446",
            "telephone_number": "253-260-6754",
            "fax_number": "877-725-4332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Broadway Ste 404",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984024454",
            "country_code": "US",
            "telephone_number": "425-640-7009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "LAURA",
        "credential": "DNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61465780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University Place, WA

Sources for this page

Verify at the official NPI Registry.