Active NPI
Jennifer E Walker, DC
- Chiropractor
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104556935
- Practice address
- 2522 Colonial Ave SW
Roanoke, VA 24015-3121 - Phone
- (540) 343-0055
- Fax
- (540) 627-5055
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104556935 | VA | Primary |
Addresses
Primary practice location
2522 Colonial Ave SW
Roanoke, VA 24015-3121
Mailing address
2110 Carolina Ave SW
Roanoke, VA 24014-1738
Phone (540) 343-0055
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00319591 | Other | MEDICARE RR | |
| 188918 | Other | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, CO
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2522 Colonial Ave SW
Roanoke, VA 24015-3121
Phone (540) 343-0055
2725 Market St
Christiansburg, VA 24073-6514
Phone (540) 585-4077
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104556935 | VA | MD | Chiropractor |
| 2677 | MA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balance Wellspace Integrative Medicine, Inc. | Current | Accepting new patients | |
| Blue Ridge Wound Care LLC | Past | Accepting new patients | |
| Wound Care Associates of Colorado LLC | Past | Accepting new patients |
Locations
2725 Market St
Christiansburg, VA 24073
Phone (540) 343-0055
2110 Carolina Ave SW
Roanoke, VA 24014
Phone (540) 343-0055
1603 Franklin Rd SW
Roanoke, VA 24016
Phone (540) 343-0055
2522 Colonial Ave SW
Roanoke, VA 24015
Phone (540) 343-0055
Organizations & group practices 4
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Roanoke, VA
- NPI 1164966446
-
- General Practice Physician
- Denver, CO
- NPI 1689208035
-
- Wound Care Registered Nurse
- Roanoke, VA
- NPI 1952172819
-
- Family Nurse Practitioner
- Denver, CO
- NPI 1992511786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731283200000",
"number": "1649200130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 CAROLINA AVE SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240141738",
"telephone_number": "540-343-0055",
"fax_number": "540-343-0056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2522 COLONIAL AVE SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240153121",
"telephone_number": "540-343-0055",
"fax_number": "540-627-5055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "JENNIFER",
"middle_name": "E",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2024-11-11",
"certification_date": "2024-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104556935",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P00319591",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "188918",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.