NPIMap

Organization Active NPI

Dennis G Walker Family Clinic

  • Primary Care Clinic/Center
  • Crowley, LA
National Provider Identifier
1760015721
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
DENNIS G WALKER FAMILY CLINIC
Practice address
421 N Avenue F
Crowley, LA 70526-5044
Phone
(337) 514-5065
Fax
(844) 392-7926
NPI assigned
Feb 19, 2020
Last updated
Dec 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Authorized official

Name
Mrs. Erin Achane, CPCNPI 1912643859
Title
Owner
Phone
(337) 514-5065

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164W00000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

421 N Avenue F
Crowley, LA 70526-5044

Mailing address

421 N Avenue F
Crowley, LA 70526-5044
Phone (337) 514-5065

Other practice location 1

302 W 4th St
Dequincy, LA 70633-3404
Phone (337) 222-5524

Other identifiers 1

IdentifierTypeStateIssuer
47441MedicaidLA

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL info@dgwfamilyclinic.com
Other URL info@dgwfamilyclinic.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200420001876 LA Part B Supplier - Clinic/Group Practice 9830529684 Receives reassigned benefits from 14 practitioners
Practice locations: Crowley, LA; Dequincy, LA

National Provider Directory

National Provider Directory

Locations

302 W 4th St
Dequincy, LA 70633
Phone (337) 222-5524

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639526400000",
    "number": "1760015721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 N AVENUE F",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705265044",
            "telephone_number": "337-514-5065",
            "fax_number": "844-392-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N AVENUE F",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705265044",
            "telephone_number": "337-514-5065",
            "fax_number": "844-392-7926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Dequincy",
            "state": "LA",
            "postal_code": "706333404",
            "country_code": "US",
            "telephone_number": "337-222-5524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DENNIS G WALKER FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "ACHANE",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-514-5065",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47441",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@dgwfamilyclinic.com",
            "affiliation": "N",
            "address_1": "302 W 4th St",
            "city": "Dequincy",
            "state": "LA",
            "country_code": "US",
            "postal_code": "706333404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@dgwfamilyclinic.com",
            "affiliation": "N",
            "address_1": "421 N Avenue F",
            "city": "Crowley",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705265044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crowley, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.