Individual provider Active NPI

Ladonna Marie Walker, NP

  • Family Nurse Practitioner
  • Conway, AR
National Provider Identifier
1770088445
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A005566 Issued in AR
Practice address
1120 Hogan LN Ste B2
Conway, AR 72034-8216
Phone
(479) 880-6148
Fax
(479) 765-1396
NPI assigned
Mar 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 218902 LA
Family Nurse Practitioner 363LF0000X A005566 AR Primary

Addresses

Primary practice location

1120 Hogan LN Ste B2
Conway, AR 72034-8216

Mailing address

1120 Hogan LN Ste B2
Conway, AR 72034-8216
Phone (479) 880-6148

Other names 1

  • Ladonna Marie Young Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20180719002314 AR Practitioner - Nurse Practitioner 4183971336 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A005566ARMDFamily Nurse Practitioner
218902LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rooted Health Hormones & Medspa LLC Family Medicine CurrentSince Mar 24, 2025 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Jul 31, 2023 Accepting new patients
Gold Cross Urgent Care, LLC PastSince May 7, 2024 Accepting new patients
River of Life Health PLLC Family Medicine PastSince Jan 7, 2024 Accepting new patients

Locations

1120 Hogan Ln
Ste B2
Conway, AR 72034
Phone (479) 880-6148

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

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": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1770088445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 HOGAN LN STE B2",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348216",
            "telephone_number": "479-880-6148",
            "fax_number": "479-765-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 HOGAN LN STE B2",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348216",
            "telephone_number": "479-880-6148",
            "fax_number": "479-765-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "LADONNA",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "218902",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LADONNA",
            "last_name": "YOUNG",
            "middle_name": "MARIE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.