Individual provider Active NPI

Kendsey Walker

  • Registered Nurse
  • South Point, OH
National Provider Identifier
1851034367
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN.497776 Issued in OH
Practice address
520 Solida Rd
South Point, OH 45680-9347
Phone
(740) 523-0097
NPI assigned
Apr 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.497776 OH Primary

Addresses

Primary practice location

520 Solida Rd
South Point, OH 45680-9347

Mailing address

520 Solida Rd
South Point, OH 45680-9347
Phone (740) 523-0097

Other identifiers 1

IdentifierTypeStateIssuer
0378240MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL SouthPoint Direct

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

LicenseStateTypeSpecialty
RN.497776OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Regal Recovery Care, LLC CurrentSince Mar 26, 2023 Accepting new patients
Serenity Springs, LLC Current Accepting new patients
Regal Recovery Care, LLC CurrentSince Sep 23, 2024 Accepting new patients
Serenity Springs, LLC Current Accepting new patients

Locations

520 Solida Rd
South Point, OH 45680
Phone (740) 523-0097

Organizations & group practices 4

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": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1851034367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SOLIDA RD",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456809347",
            "telephone_number": "740-523-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SOLIDA RD",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "456809347",
            "telephone_number": "740-523-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KENDSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.497776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0378240",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SouthPoint",
            "affiliation": "N",
            "endpointDescription": "SouthPoint",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "SouthPoint",
            "address_1": "520 Solida Rd",
            "city": "South Point",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456809347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Point, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.