Individual provider Active NPI

Lakendra Walker, FNP

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1821270893
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN184336 Issued in GA
Practice address
1203 Cleveland Ave Ste D
Atlanta, GA 30344-3417
Phone
(404) 755-2291
NPI assigned
Dec 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 184336 GA
Family Nurse Practitioner 363LF0000X RN184336 GA Primary

Addresses

Primary practice location

1203 Cleveland Ave Ste D
Atlanta, GA 30344-3417

Mailing address

777 Cleveland Ave SW
Atlanta, GA 30315-7129
Phone (404) 755-2291

Other identifiers 1

IdentifierTypeStateIssuer
184336OtherGAREGISTERED NURSE

Other names 1

  • Mrs. Lakendra Walker - Hogans Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20230414001422 GA Practitioner - Nurse Practitioner 1658746136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3200 N Henry Boulevard
Suite C
Stockbridge, GA 30281
Phone (770) 295-9221

3200 N Henry Boulevard C
Stockbridge, GA 30281

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
184336GAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Keeping People First Medical CurrentSince Feb 20, 2023 Accepting new patients

Locations

3200 N Henry Blvd
Ste C
Stockbridge, GA 30281
Phone (770) 295-9221

Interoperability endpoints

  • Direct secure messaging: lakendra.walker.1@26481.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1821270893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CLEVELAND AVE SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303157129",
            "telephone_number": "404-755-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 CLEVELAND AVE STE D",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303443417",
            "telephone_number": "404-755-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "LAKENDRA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-03",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "184336",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN184336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "184336",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAKENDRA",
            "last_name": "WALKER - HOGANS",
            "prefix": "MRS.",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.