Dennise Walker, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

F1115423 Issued in CA

Practice address

750 E Main St
Barstow, CA 92311-2354

Phone

(442) 347-2800

NPI assigned

Jan 6, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Caremd, Inc.

  • Family Medicine Physician
  • Barstow, CA
  • NPI 1740588391
  Medicare reassignment NPD
• Sonia Panjwani, M.D., Inc.

  • Internal Medicine Physician
  • Victorville, CA
  • NPI 1639366180
  Medicare reassignment NPD

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1669838637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12760 HESPERIA RD STE B",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958305",
            "telephone_number": "760-951-5552",
            "fax_number": "760-951-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E MAIN ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112354",
            "telephone_number": "442-347-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12760 Hesperia Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923958305",
            "country_code": "US",
            "telephone_number": "760-951-5552",
            "fax_number": "760-951-5535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "DENNISE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-06",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "F1115423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "F1115423",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allie Vlach
• Dipak G Vora, M.D.
• Tammie Voss, M.A., R.D.N.
• Wach
• Wal-Mart Stores, Inc.
• Paytin Walker
• Latrina Wallace
• Walmart Inc.
• Cheung Sing Wan, MD
• Kristen Wann

• Primary Care Nurse Practitioner in Barstow, CA
• Providers in Barstow, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.