Individual provider Active NPI

Holly N Walker, ARNP

  • Pediatric Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1790924363
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
5887P Issued in KY
Practice address
210 E Gray St
Suite 1105
Louisville, KY 40202-3900
Phone
(502) 583-1609
Fax
(502) 583-2120
NPI assigned
Feb 5, 2009
Last updated
Mar 4, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 5887P KY Primary

Addresses

Primary practice location

210 E Gray St
Suite 1105
Louisville, KY 40202-3900

Mailing address

PO Box 950202
Louisville, KY 40295-0202
Phone (502) 969-6552

Other identifiers 11

IdentifierTypeStateIssuer
000000616408OtherKYSIHO- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
200952380OtherKYHEALTHY INDIANA PLAN- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
3715729000OtherKYPASSPORT ADVANTAGE- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
000023036NOtherKYHUMANA- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
000000616408OtherKYANTHEM- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
00533133OtherKYMEDICARE KY- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
200952380OtherKYMEDICAID INDIANA- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
5887POtherKYKY BOARD OF LICENSE
50023978OtherKYPASSPORT- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
7100091920MedicaidKY
200952380OtherKYMD WISE- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY

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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kaplan Barron Pediatrics PLLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1790924363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950202",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950202",
            "telephone_number": "502-969-6552",
            "fax_number": "502-969-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E GRAY ST",
            "address_2": "SUITE 1105",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023900",
            "telephone_number": "502-583-1609",
            "fax_number": "502-583-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "HOLLY",
        "middle_name": "N",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-05",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KY",
            "license": "5887P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY",
            "identifier": "000000616408",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY INDIANA PLAN- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY",
            "identifier": "200952380",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY",
            "identifier": "3715729000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY",
            "identifier": "000023036N",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY",
            "identifier": "000000616408",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE KY- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY",
            "identifier": "00533133",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID INDIANA- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY",
            "identifier": "200952380",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY BOARD OF LICENSE",
            "identifier": "5887P",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY",
            "identifier": "50023978",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100091920",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD WISE- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY",
            "identifier": "200952380",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.