Individual provider Active NPI

Lois Walker

  • Nurse Practitioner
  • Somerton, AZ
National Provider Identifier
1659788966
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP9845 Issued in AZ
Practice address
214 W Main St
Somerton, AZ 85350-6329
Phone
(928) 627-1120
Fax
(928) 627-8773
NPI assigned
Jul 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R80468 AR
Nurse Practitioner 363L00000X AP9845 AZ Primary

Addresses

Primary practice location

214 W Main St
Somerton, AZ 85350-6329

Mailing address

PO Box 617
Somerton, AZ 85350-0617
Phone (928) 662-0406

Other identifiers 3

IdentifierTypeStateIssuer
116399726MedicaidAR
205411758MedicaidAR
211456002MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141015001335 AR Practitioner - Nurse Practitioner 8123249299 Reassigns benefits to 1 organization
I20170608001659 AZ Practitioner - Nurse Practitioner 8123249299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Luis Walk-in Clinic IncGroup PAC ID 2668361841, 49 clinicians

Practice addresses (Care Compare)

214 W Main St
Somerton, AZ 85350-6329
Phone (928) 627-1120

950 E Main St
Somerton, AZ 85350-7409

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R80468ARMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ouachita Regional Counseling and Mental Health Center, Inc. CurrentSince Jul 22, 2014 Accepting new patients
San Luis Walk-in Clinic, Inc. Current Accepting new patients
San Luis Walk-in Clinic, Inc. CurrentSince May 1, 2017 Accepting new patients
Ouachita Regional Counseling & Mental Health Center, Inc. CurrentSince Jul 22, 2014 Accepting new patients
San Luis Walk-in Clinic, Inc. Current Accepting new patients
San Luis Walk-in Clinic, Inc. Past Accepting new patients

Locations

125 Wellness Way
Hot Springs National Park, AR 71913
Phone (501) 620-5231

1980 Mesquite Ave
Lk Havasu Cty, AZ 86403
Phone (928) 392-3691

601 W Riverside Dr
Ste 4
Parker, AZ 85344
Phone (928) 256-4110

214 W Main St
Somerton, AZ 85350
Phone (928) 627-1120

950 E Main St
Bldg B
Somerton, AZ 85350
Phone (928) 236-8001

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11823/brand/2/csg/41/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1659788966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 617",
            "city": "SOMERTON",
            "state": "AZ",
            "postal_code": "853500617",
            "telephone_number": "928-662-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W MAIN ST",
            "city": "SOMERTON",
            "state": "AZ",
            "postal_code": "853506329",
            "telephone_number": "928-627-1120",
            "fax_number": "928-627-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "LOIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-18",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "R80468",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP9845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116399726",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205411758",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211456002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerton, AZ

Sources for this page

Verify at the official NPI Registry.