Individual provider Active NPI

Amber Walker, CRNP

  • Acute Care Nurse Practitioner
  • Boaz, AL
National Provider Identifier
1811448202
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-122682 Issued in AL
Practice address
1116 Broadwell Rd
Boaz, AL 35956-2510
Phone
(256) 302-5156
NPI assigned
Oct 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-122682 AL Primary

Addresses

Primary practice location

1116 Broadwell Rd
Boaz, AL 35956-2510

Mailing address

1116 Broadwell Rd
Boaz, AL 35956-2510
Phone (256) 302-5156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20180618001464 AL Practitioner - Nurse Practitioner 3375898265 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Etowah Gastroenterology Associates, PCGroup PAC ID 0244295764, 2 clinicians

Practice addresses (Care Compare)

1026 Goodyear Ave
Suite 201
Gadsden, AL 35903-1194
Phone (256) 467-4477

Hospital & facility affiliations

  • Dekalb Regional Medical Center Hospital, Fort Payne, AL, CCN 010012
  • Floyd Cherokee Medical Center Hospital, Centre, AL, CCN 010022
  • Riverview Regional Medical Center Hospital, Gadsden, AL, CCN 010046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-122682ALMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Care Medical Clinic CurrentSince Feb 24, 2018 Accepting new patients
Etowah Gastroenterology Associates PC CurrentSince Mar 17, 2025 Accepting new patients

Locations

309 S 4th St
Gadsden, AL 35901
Phone (256) 543-9955

1026 Goodyear Ave
Ste 201
Gadsden, AL 35903
Phone (256) 467-4477

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEDBCA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1811448202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 BROADWELL RD",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359562510",
            "telephone_number": "256-302-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 BROADWELL RD",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359562510",
            "telephone_number": "256-302-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "AMBER",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-122682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boaz, AL

Sources for this page

Verify at the official NPI Registry.