Active NPI
Stefan Duvaull Walker
- Attendant Care Provider
- Lansing, MI
National Provider Identifier
1629630462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- Practice address
- 4135 W Michigan Ave
Lansing, MI 48917-2863 - Phone
- (517) 775-0799
- NPI assigned
- Jul 2, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | MI | Primary |
Addresses
Primary practice location
4135 W Michigan Ave
Lansing, MI 48917-2863
Mailing address
4135 W Michigan Ave
Lansing, MI 48917-2863
Phone (517) 775-0799
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562025600000",
"number": "1629630462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4135 W MICHIGAN AVE",
"city": "LANSING",
"state": "MI",
"postal_code": "489172863",
"telephone_number": "517-775-0799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4135 W MICHIGAN AVE",
"city": "LANSING",
"state": "MI",
"postal_code": "489172863",
"telephone_number": "517-775-0799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "STEFAN",
"middle_name": "DUVAULL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-02",
"last_updated": "2019-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.