Active NPI
Cynthia M Walker, APRN
- Primary Care Nurse Practitioner
- Wichita, KS
National Provider Identifier
1558367755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 53-45257-032
- Practice address
- 1845 Fairmount St
Wichita, KS 67260-0092 - Phone
- (316) 978-3620
- Fax
- (316) 978-3517
- NPI assigned
- Jun 22, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 45257 | KS | |
| Nurse Practitioner | 363L00000X | 53-45257-032 | KS | |
| Family Nurse Practitioner | 363LF0000X | 53-45257-032 | KS | |
| Primary Care Nurse Practitioner | 363LP2300X | 53-45257-032 | KS | Primary |
Addresses
Primary practice location
1845 Fairmount St
Wichita, KS 67260-0092
Mailing address
1845 Fairmount St
Wichita, KS 67260-0092
Phone (316) 978-3620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100322000B | Medicaid | KS |
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 |
|---|---|---|---|
| 45257 | KS | MD | Registered Nurse |
| 53-45257-032 | KS | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wichita State University | Past | Accepting new patients | |
| Wichita State University Student Health Services | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Wichita, KS
- NPI 1336427582
-
- Student Health Clinic/Center
- Wichita, KS
- NPI 1174019293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652918400000",
"number": "1558367755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1845 FAIRMOUNT ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672600092",
"telephone_number": "316-978-3620",
"fax_number": "316-978-3517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1845 FAIRMOUNT ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672600092",
"telephone_number": "316-978-3620",
"fax_number": "316-978-3517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "CYNTHIA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-22",
"last_updated": "2022-05-19",
"certification_date": "2022-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "45257",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "53-45257-032",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "53-45257-032",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "KS",
"license": "53-45257-032",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100322000B",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.