Individual provider Active NPI

Abiola A Walker

  • Administrator Registered Nurse
  • Ypsilanti, MI
National Provider Identifier
1700670635
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
4704205252 Issued in MI
Practice address
1714 Bridgewater Dr
Ypsilanti, MI 48198-3280
Phone
(734) 717-1691
Fax
(734) 717-1691
NPI assigned
Apr 7, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 4704205252 MI Primary

Addresses

Primary practice location

1714 Bridgewater Dr
Ypsilanti, MI 48198-3280

Mailing address

1714 Bridgewater Dr
Ypsilanti, MI 48198-3280
Phone (734) 717-1691

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

State licenses

LicenseStateTypeSpecialty
4704205252MIMDAdministrator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1700670635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 BRIDGEWATER DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481983280",
            "telephone_number": "734-717-1691",
            "fax_number": "734-717-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 BRIDGEWATER DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481983280",
            "telephone_number": "734-717-1691",
            "fax_number": "734-717-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ABIOLA",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "MI",
            "license": "4704205252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.