Active NPI
Lois Walker
- Nurse Practitioner
- Somerton, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP9845
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116399726 | Medicaid | AR | |
| 205411758 | Medicaid | AR | |
| 211456002 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| R80468 | AR | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ouachita Regional Counseling and Mental Health Center, Inc. | Current | Accepting new patients | |
| San Luis Walk-in Clinic, Inc. | Current | Accepting new patients | |
| San Luis Walk-in Clinic, Inc. | Current | Accepting new patients | |
| Ouachita Regional Counseling & Mental Health Center, Inc. | Current | 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
- 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.
-
- Rural Health Clinic/Center
- San Luis, AZ
- NPI 1104228337
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hot Springs, AR
- NPI 1821087123
-
- Rural Health Clinic/Center
- Lake Havasu City, AZ
- NPI 1154051753
-
- Rural Health Clinic/Center
- Parker, AZ
- NPI 1316568595
-
- Community/Behavioral Health Agency
- Benton, AR
- NPI 1780440305
-
- Rural Health Clinic/Center
- Somerton, AZ
- NPI 1003991506
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.