Active NPI
Paula Denise Walker, LPN
- Psychiatric/Mental Health Registered Nurse
- Pine Bluff, AR
National Provider Identifier
1821369042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 908991634
- Practice address
- 2500 Rike Dr
Pine Bluff, AR 71603-3937 - Phone
- (870) 534-1834
- Fax
- (870) 534-5798
- NPI assigned
- Jan 19, 2012
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 908991634 | AR | Primary |
Addresses
Primary practice location
2500 Rike Dr
Pine Bluff, AR 71603-3937
Mailing address
2500 Rike Dr
Pine Bluff, AR 71603-3937
Phone (870) 534-1834
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116378726 | Medicaid | AR |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 908991634 | AR | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338336000000",
"number": "1821369042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 RIKE DR",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716033937",
"telephone_number": "870-534-1834",
"fax_number": "870-534-5798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 RIKE DR",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716033937",
"telephone_number": "870-534-1834",
"fax_number": "870-534-5798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "PAULA",
"middle_name": "DENISE",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-19",
"last_updated": "2012-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "AR",
"license": "908991634",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116378726",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pine Bluff, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.