Individual provider Active NPI

Megan Beth Walker, MS, RN, CPNP

  • Pediatric Nurse Practitioner
  • Kettering, OH
National Provider Identifier
1851694475
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
131445 Issued in OK
Practice address
1775 Delco Park Dr
Kettering, OH 45420-1398
Phone
(816) 500-6015
NPI assigned
Dec 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 359677 OH
Pediatric Nurse Practitioner 363LP0200X RN.359677 OH
Pediatric Nurse Practitioner 363LP0200X 131445 OK Primary

Addresses

Primary practice location

1775 Delco Park Dr
Kettering, OH 45420-1398

Mailing address

1775 Delco Park Dr
Kettering, OH 45420-1398
Phone (918) 772-3390

Other practice location 1

1310 E Boone St
Tahlequah, OK 74464-3338
Phone (918) 456-7700

Other names 1

  • Megan Beth Wright Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20190213001690 OK Practitioner - Nurse Practitioner 0446598619 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Master of Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
359677OHMDRegistered Nurse
RN.359677OHMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Pediatrics, Inc. CurrentSince Jan 26, 2020 Accepting new patients
Northeastern Oklahoma Community Health Centers, Inc. CurrentSince Dec 4, 2018 Accepting new patients
Northeastern Oklahoma Community Health Centers Inc Current Accepting new patients
Northeastern Oklahoma Community Health Centers Inc CurrentSince Dec 4, 2018 Accepting new patients
Ohio Pediatrics, Inc. PastSince Jan 26, 2020 Accepting new patients

Locations

7200 Poe Ave
Dayton, OH 45414

1775 Delco Park Dr
Kettering, OH 45420
Phone (937) 299-2339

124 E Main St
Hulbert, OK 74441
Phone (918) 772-2879

1500 E Downing St
Ste 201
Tahlequah, OK 74464
Phone (918) 772-3390

1310 E Boone St
Tahlequah, OK 74464
Phone (918) 456-7700

Interoperability endpoints

  • Direct secure messaging: megan.walker@ohpi.eclinicaldirectplus.com

Organizations & group practices 5

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": "1292889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1851694475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 DELCO PARK DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201398",
            "telephone_number": "918-772-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 DELCO PARK DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201398",
            "telephone_number": "816-500-6015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 E Boone St",
            "address_purpose": "LOCATION",
            "city": "Tahlequah",
            "state": "OK",
            "postal_code": "744643338",
            "country_code": "US",
            "telephone_number": "918-456-7700",
            "fax_number": "918-458-9314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MEGAN",
        "middle_name": "BETH",
        "credential": "MS, RN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-21",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "359677",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "RN.359677",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OK",
            "license": "131445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "WRIGHT",
            "middle_name": "BETH",
            "credential": "BSN, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.