Individual provider Active NPI

Jeannie Evette Mason-Walker, FNP-C

  • Family Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1861023046
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024178781 Issued in VA
Practice address
2421 Chamberlayne Ave
Richmond, VA 23222-4205
Phone
(804) 329-8510
NPI assigned
Jan 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024178781 VA Primary

Addresses

Primary practice location

2421 Chamberlayne Ave
Richmond, VA 23222-4205

Mailing address

8711 Beach Rd
Chesterfield, VA 23838-5355
Phone (804) 386-3277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20200626000000 VA Practitioner - Nurse Practitioner 5496177107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024178781VAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1861023046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8711 BEACH RD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238385355",
            "telephone_number": "804-386-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 CHAMBERLAYNE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232224205",
            "telephone_number": "804-329-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON-WALKER",
        "first_name": "JEANNIE",
        "middle_name": "EVETTE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.