Kerry Walker

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN293806 Issued in PA

Practice address

2755 Philmont Ave Suite 115
Huntingdon Valley, PA 19006

Phone

(215) 947-4100

Fax

(215) 947-0192

NPI assigned

May 4, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Discovery House, LLC

  • Methadone Clinic
  • Huntingdon Valley, PA
  • NPI 1386642296
  NPD
• Discovery House, LLC

  • Methadone Clinic
  • Wilkes Barre, PA
  • NPI 1134835960
  NPD (past)

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1720723760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 PHILMONT AVE SUITE 115",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "19006",
            "telephone_number": "215-947-4100",
            "fax_number": "215-947-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 PHILMONT AVE SUITE 115",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "19006",
            "telephone_number": "215-947-4100",
            "fax_number": "215-947-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KERRY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN293806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Visual Eyes
• Vital Care Nurses LLC
• Vital Health Primary Care LLC
• Daniel Vizak, D.P.T.
• Yulia N Voskoboynik, PHARMD.
• Amy Wallwork, LMFT
• Michael J Walsh, PT
• Lori A Walton, PA-C
• Gavin Wang, DPT
• Warren Jay Zalut,MD,PC

• Licensed Practical Nurse in Huntingdon Valley, PA
• Providers in Huntingdon Valley, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.