Active NPI
Justin Walker, ATC
- Prevention Professional
- Hammond, LA
National Provider Identifier
1821524950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- 303063
- Practice address
- 800 Galloway Dr
Hammond, LA 70401 - Phone
- (919) 451-5951
- NPI assigned
- May 10, 2017
- Last updated
- May 10, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Prevention Professional | 405300000X | 303063 | LA | Primary |
Addresses
Primary practice location
800 Galloway Dr
Hammond, LA 70401
Mailing address
60 Cedar PL
Hammond, LA 70401-2379
Phone (919) 451-5951
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 |
|---|---|---|---|
| 303063 | LA | MD | Prevention Professional |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494374400000",
"number": "1821524950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 CEDAR PL",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704012379",
"telephone_number": "919-451-5951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 GALLOWAY DR",
"city": "HAMMOND",
"state": "LA",
"postal_code": "70401",
"telephone_number": "919-451-5951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "JUSTIN",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-10",
"last_updated": "2017-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "LA",
"license": "303063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.