Individual provider Active NPI

Darrelle D Walker, ARNP, FNP-C

  • Family Nurse Practitioner
  • Olympia, WA
National Provider Identifier
1740059187
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP.AP.61517314-NP Issued in WA
Practice address
209 Lilly Rd NE Ste B
Olympia, WA 98506-5030
Phone
(360) 413-8250
Fax
(360) 413-8830
NPI assigned
Dec 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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 ARNP.AP.61517314-NP WA Primary

Addresses

Primary practice location

209 Lilly Rd NE Ste B
Olympia, WA 98506-5030

Mailing address

1121 Rockcress Dr SE
Olympia, WA 98513-2149
Phone (928) 287-9319

Other practice location 1

3620 Ensign Rd NE
Olympia, WA 98506-6957
Phone (928) 287-9319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20240409004058 WA Practitioner - Nurse Practitioner 6204274228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

209 Lilly Rd NE
Suite B
Olympia, WA 98506-5030
Phone (360) 413-8250

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP.AP.61517314-NPWAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Puget Sound Gastroenterology, PLLC CurrentSince Mar 11, 2024 Accepting new patients
Puget Sound Gastroenterology, PLLC Current Accepting new patients
Puget Sound Gastroenterology, PLLC CurrentSince Mar 11, 2024 Accepting new patients
Puget Sound Gastroenterology, PLLC Past Accepting new patients
Cellnetix Pathology, PLLC Past Accepting new patients

Locations

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

16504 9th Ave SE
Ste 201
Mill Creek, WA 98012
Phone (425) 686-7138

209 Lilly Rd NE
Ste B
Olympia, WA 98506
Phone (360) 413-8250

Interoperability endpoints

  • Direct secure messaging: darrelle.walker@gastrohealth.eclinicaldirectplus.com
  • FHIR API: https://7e6d65ac-543a-4d66-acb8-36b51c8c951c.gastro.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1740059187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 ROCKCRESS DR SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985132149",
            "telephone_number": "928-287-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 LILLY RD NE STE B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065030",
            "telephone_number": "360-413-8250",
            "fax_number": "360-413-8830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3620 Ensign Rd NE",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985066957",
            "country_code": "US",
            "telephone_number": "928-287-9319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "DARRELLE",
        "middle_name": "D",
        "credential": "ARNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-27",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "ARNP.AP.61517314-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.