Mitzi Walker, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

041-231858 Issued in IL

Practice address

676 Brookwood Dr
Olympia Fields, IL 60461-1510

Phone

(773) 474-9150

NPI assigned

Feb 5, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Theortis Walker Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1790143733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 BROOKWOOD DR",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611510",
            "telephone_number": "773-474-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 BROOKWOOD DR",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611510",
            "telephone_number": "773-474-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MITZI",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-05",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "IL",
            "license": "041-231858",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "IL",
            "license": "041-231858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THEORTIS",
            "last_name": "WALKER",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Walgreen Co
• Walgreen Co.
• Demetrious Walker
• George Walker, DO
• Lisa Walker, LCPC
• Paula M Walker
• Staci Walker
• Christopher Walkowiak, CRNA
• Walmart Inc.
• Andrew J Wang, DDS

• School Registered Nurse in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• School Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; 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.