Individual provider Active NPI

Twilla Mitchell Walker, FNP

  • Family Nurse Practitioner
  • Statesville, NC
National Provider Identifier
1770756512
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5003944 Issued in NC
Practice address
1424 Fern Creek Dr
Suite D
Statesville, NC 28625-9376
Phone
(704) 878-2058
Fax
(704) 872-6576
NPI assigned
Apr 11, 2008
Last updated
Nov 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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 5003944 NC Primary

Addresses

Primary practice location

1424 Fern Creek Dr
Suite D
Statesville, NC 28625-9376

Mailing address

1424 Fern Creek Dr
Suite D
Statesville, NC 28625-9376
Phone (704) 878-2058

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address twilla.walker.1@4693.direct.athenahealth.com
Direct Messaging Address twilla.walker.2@4693.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20080602000700 NC Practitioner - Nurse Practitioner 8628148764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DLP Frye Medical Group LLCGroup PAC ID 8123397601, 125 clinicians

Practice addresses (Care Compare)

1771 Tate Blvd SE
Suite 201
Hickory, NC 28602-4250
Phone (828) 324-4804

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5003944NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Frye Medical Group LLC Nurse Practitioner CurrentSince Feb 1, 2022 Accepting new patients
DLP Frye Medical Group LLC CurrentSince Feb 1, 2022 Accepting new patients
DLP Cardiology Physicians LLC Past Accepting new patients

Locations

1771 Tate Blvd SE
Ste 201
Hickory, NC 28602
Phone (828) 324-4804

2660 Tate Blvd SE
Hickory, NC 28602
Phone (828) 261-0009

915 Tate Blvd SE
Ste 182
Hickory, NC 28602
Phone (828) 322-2005

915 Tate Blvd SE
Ste 186
Hickory, NC 28602
Phone (828) 449-8458

1041 Morganton Blvd SW
#200
Lenoir, NC 28645
Phone (828) 323-2460

602 Morganton Blvd SW
Lenoir, NC 28645
Phone (828) 239-9400

1470 E Gaston St
Ste 400
Lincolnton, NC 28092
Phone (704) 735-7760

128 Dr Henry Norris Dr
Rutherfordton, NC 28139
Phone (828) 286-3479

Interoperability endpoints

  • Direct secure messaging: twilla.walker.1@15786.direct.athenahealth.com
  • Direct secure messaging: twilla.walker.1@4693.direct.athenahealth.com
  • Direct secure messaging: twilla.walker.2@4693.direct.athenahealth.com

Organizations & group practices 3

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 1

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": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1770756512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 FERN CREEK DR",
            "address_2": "SUITE D",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286259376",
            "telephone_number": "704-878-2058",
            "fax_number": "704-872-6576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 FERN CREEK DR",
            "address_2": "SUITE D",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286259376",
            "telephone_number": "704-878-2058",
            "fax_number": "704-872-6576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "TWILLA",
        "middle_name": "MITCHELL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-11",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5003944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "twilla.walker.1@4693.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct access",
            "address_1": "1424 Fern Creek Dr",
            "address_2": "Suite D",
            "city": "Statesville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286259376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "twilla.walker.2@4693.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1424 Fern Creek Dr",
            "address_2": "Suite D",
            "city": "Statesville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286259376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

Verify at the official NPI Registry.