Organization Active NPI

Family First Nurse Practitioner, Nursing Corp.

  • Family Nurse Practitioner
  • Burbank, CA
National Provider Identifier
1851157374
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
FAMILY FIRST NURSE PRACTITIONER, NURSING CORP.
Practice address
3808 W Riverside Dr Ste 406
Burbank, CA 91505-5301
Phone
(310) 765-9019
Fax
(310) 765-9019
NPI assigned
Feb 22, 2024
Last updated
Apr 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Authorized official

Name
Anna Walker, NPNPI 1164104238
Title
Owner/NP
Phone
(310) 765-9019

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

3808 W Riverside Dr Ste 406
Burbank, CA 91505-5301

Mailing address

3808 W Riverside Dr Ste 406
Burbank, CA 91505-5301
Phone (310) 765-9019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240417003617 CA Part B Supplier - Clinic/Group Practice 2163861527 Receives reassigned benefits from 2 practitioners
Practice locations: Burbank, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2304313Family First Nurse Practitioner Nursing Corp3808 W Riverside Dr Suite 406, Burbank, CA 91505Certificate of waiverMay 9, 2028

National Provider Directory

National Provider Directory

Locations

3808 W Riverside Dr
Ste 406
Burbank, CA 91505
Phone (310) 765-9019

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1851157374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 W RIVERSIDE DR STE 406",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915055301",
            "telephone_number": "310-765-9019",
            "fax_number": "747-744-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 W RIVERSIDE DR STE 406",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915055301",
            "telephone_number": "310-765-9019",
            "fax_number": "310-765-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST NURSE PRACTITIONER, NURSING CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-22",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OWNER/NP",
        "authorized_official_telephone_number": "310-765-9019",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.