Individual provider Active NPI

Carolyn Elizabeth Walker, FNP

  • Family Nurse Practitioner
  • Talbott, TN
National Provider Identifier
1720947385
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
40403 Issued in TN
Practice address
204 Shaver Dr
Talbott, TN 37877-8552
Phone
(423) 581-7040
Fax
(423) 581-9563
NPI assigned
Jan 20, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 40403 TN Primary

Addresses

Primary practice location

204 Shaver Dr
Talbott, TN 37877-8552

Mailing address

204 Shaver Dr
Talbott, TN 37877-8552
Phone (423) 581-7040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20260311003701 TN Practitioner - Nurse Practitioner 0648753228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care Associates, PCGroup PAC ID 9931179041, 3 clinicians

Practice addresses (Care Compare)

204 Shaver Dr
Talbott, TN 37877-8552
Phone (423) 581-7040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40403TNMDOncology Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Associates, PC Family CurrentSince Feb 9, 2026 Accepting new patients

Locations

204 Shaver Dr
Talbott, TN 37877
Phone (423) 581-7040

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4693/brand/6/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1768867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1720947385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 SHAVER DR",
            "city": "TALBOTT",
            "state": "TN",
            "postal_code": "378778552",
            "telephone_number": "423-581-7040",
            "fax_number": "423-581-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 SHAVER DR",
            "city": "TALBOTT",
            "state": "TN",
            "postal_code": "378778552",
            "telephone_number": "423-581-7040",
            "fax_number": "423-581-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "CAROLYN",
        "middle_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-20",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "40403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Talbott, TN

Sources for this page

Verify at the official NPI Registry.