NPIMap

Organization Active NPI

Diane M. Walker Psy. D. P.a.

  • Psychologist
  • Grant, FL
National Provider Identifier
1669727772
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY5049 Issued in FL
Legal business name
DIANE M. WALKER PSY. D. P.A.
Practice address
6655 S US Highway 1
Grant, FL 32949-2221
Phone
(321) 693-3325
NPI assigned
Jul 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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

Authorized official

Name
Mrs. Jane Crowther
Title
Office Manager
Phone
(772) 696-2233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY5049 FL Primary

Addresses

Primary practice location

6655 S US Highway 1
Grant, FL 32949-2221

Mailing address

6655 S US Highway 1
Grant, FL 32949-2221
Phone (321) 696-3325

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1669727772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 S US HIGHWAY 1",
            "city": "GRANT",
            "state": "FL",
            "postal_code": "329492221",
            "telephone_number": "321-696-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 S US HIGHWAY 1",
            "city": "GRANT",
            "state": "FL",
            "postal_code": "329492221",
            "telephone_number": "321-693-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE M. WALKER PSY. D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "CROWTHER",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "772-696-2233",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY5049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grant, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.