Active NPI
Holly N Walker, ARNP
- Pediatric Nurse Practitioner
- Louisville, KY
National Provider Identifier
1790924363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 5887P
- 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, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000616408 | Other | KY | SIHO- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY |
| 200952380 | Other | KY | HEALTHY INDIANA PLAN- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY |
| 3715729000 | Other | KY | PASSPORT ADVANTAGE- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY |
| 000023036N | Other | KY | HUMANA- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY |
| 000000616408 | Other | KY | ANTHEM- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY |
| 00533133 | Other | KY | MEDICARE KY- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY |
| 200952380 | Other | KY | MEDICAID INDIANA- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY |
| 5887P | Other | KY | KY BOARD OF LICENSE |
| 50023978 | Other | KY | PASSPORT- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY |
| 7100091920 | Medicaid | KY | |
| 200952380 | Other | KY | MD 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
| Organization | Specialty | Status | New 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.
-
- Pediatrics Physician
- Louisville, KY
- NPI 1699396507
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.