Active NPI
Angel Walker, RN
- Orthopedic Registered Nurse
- Hattiesburg, MS
National Provider Identifier
1649983321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Registered Nurse
- License
- 916453
- Practice address
- 3688 Veterans Memorial Dr Ste 200
Hattiesburg, MS 39401-8246 - Phone
- (601) 554-7400
- Fax
- (601) 554-7517
- NPI assigned
- Dec 28, 2022
- Last updated
- Dec 28, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Registered Nurse | 163WX0800X | 916453 | MS | Primary |
Addresses
Primary practice location
3688 Veterans Memorial Dr Ste 200
Hattiesburg, MS 39401-8246
Mailing address
5 Sienna LN
Sumrall, MS 39482-4564
Phone (601) 325-8757
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 916453 | MS | MD | Orthopedic Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672185600000",
"number": "1649983321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 SIENNA LN",
"city": "SUMRALL",
"state": "MS",
"postal_code": "394824564",
"telephone_number": "601-325-8757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3688 VETERANS MEMORIAL DR STE 200",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394018246",
"telephone_number": "601-554-7400",
"fax_number": "601-554-7517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "ANGEL",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-28",
"last_updated": "2022-12-28",
"certification_date": "2022-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WX0800X",
"taxonomy_group": "",
"desc": "Registered Nurse, Orthopedic",
"state": "MS",
"license": "916453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.