Individual provider Active NPI

Melissa Brei Walker, R.N., A.P.N., C

  • Pediatric Nurse Practitioner
  • Haskell, NJ
National Provider Identifier
1659533487
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
26NJ00164000 Issued in NJ
Practice address
1433 Ringwood Ave
The Wanaque Center for Nursing and Rehabilitation
Haskell, NJ 07420-1520
Phone
(973) 839-2119
Fax
(913) 839-2319
NPI assigned
Jul 2, 2008
Last updated
Jul 2, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 26NJ00164000 NJ Primary

Addresses

Primary practice location

1433 Ringwood Ave
The Wanaque Center for Nursing and Rehabilitation
Haskell, NJ 07420-1520

Mailing address

1433 Ringwood Ave
The Wanaque Center for Nursing and Rehabilitation
Haskell, NJ 07420-1520
Phone (973) 839-2119

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

LicenseStateTypeSpecialty
26NJ00164000NJMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1659533487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 RINGWOOD AVE",
            "address_2": "THE WANAQUE CENTER FOR NURSING AND REHABILITATION",
            "city": "HASKELL",
            "state": "NJ",
            "postal_code": "074201520",
            "telephone_number": "973-839-2119",
            "fax_number": "913-839-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 RINGWOOD AVE",
            "address_2": "THE WANAQUE CENTER FOR NURSING AND REHABILITATION",
            "city": "HASKELL",
            "state": "NJ",
            "postal_code": "074201520",
            "telephone_number": "973-839-2119",
            "fax_number": "913-839-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MELISSA",
        "middle_name": "BREI",
        "name_prefix": "Mrs.",
        "credential": "R.N., A.P.N., C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NJ00164000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haskell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.