Individual provider Active NPI

Sydney Annette Bebb-Walker, L.AC.

  • Acupuncturist
  • Sebastopol, CA
National Provider Identifier
1780907865
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
CA3545 Issued in CA
Practice address
1205 Gravenstein Hwy S
Sebastopol, CA 95472-4851
Phone
(707) 217-5777
NPI assigned
Mar 3, 2010
Last updated
Mar 3, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X CA3545 CA Primary

Addresses

Primary practice location

1205 Gravenstein Hwy S
Sebastopol, CA 95472-4851

Mailing address

5180 Sonoma Mountain Rd
Santa Rosa, CA 95404-8881
Phone (707) 544-8802

Other names 1

  • Ms. Sydney Annette Walker Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CA3545CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1780907865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5180 SONOMA MOUNTAIN RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954048881",
            "telephone_number": "707-544-8802",
            "fax_number": "707-544-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 GRAVENSTEIN HWY S",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724851",
            "telephone_number": "707-217-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEBB-WALKER",
        "first_name": "SYDNEY",
        "middle_name": "ANNETTE",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "CA3545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYDNEY",
            "last_name": "WALKER",
            "middle_name": "ANNETTE",
            "prefix": "MS.",
            "credential": "L.AC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sebastopol, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.