Active NPI
Sanyu Haffusa Walker, APRN
- Primary Care Nurse Practitioner
- Springfield, MA
National Provider Identifier
1740613744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 2297541
- Practice address
- 3550 Main St. Commonwealth Community Care
Suite 101
Springfield, MA 01107-1078 - Phone
- (413) 858-7400
- Fax
- (413) 746-0380
- NPI assigned
- Aug 13, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 2297541 | MA | Primary |
Addresses
Primary practice location
3550 Main St. Commonwealth Community Care
Suite 101
Springfield, MA 01107-1078
Mailing address
1 Boston Medical Ctr PL
Dowling North, Suite 5108
Boston, MA 02118-2908
Phone (617) 638-7062
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2297541 | MA | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419897600000",
"number": "1740613744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BOSTON MEDICAL CTR PL",
"address_2": "DOWLING NORTH, SUITE 5108",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182908",
"telephone_number": "617-638-7062",
"fax_number": "617-638-7075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 MAIN ST. COMMONWEALTH COMMUNITY CARE",
"address_2": "SUITE 101",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071078",
"telephone_number": "413-858-7400",
"fax_number": "413-746-0380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "SANYU",
"middle_name": "HAFFUSA",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-13",
"last_updated": "2014-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MA",
"license": "2297541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.