Ayanna Z'Kiyah Nneka Walls, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN10042105 Issued in OR

Practice address

2600 SE Belmont St
Portland, OR 97214-2916

Phone

(503) 239-5738

NPI assigned

Mar 24, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1861293904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 NE 125TH PL APT 111",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972301245",
            "telephone_number": "954-774-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SE BELMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142916",
            "telephone_number": "503-239-5738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLS",
        "first_name": "AYANNA",
        "middle_name": "Z'KIYAH NNEKA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5245304",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "LPN10042105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justene Emma Wallis
• Scott Wallis, RPH
• Tami Wallis
• Clare Francisco Wallner, M.D.
• Kathryn Wallner, LPC
• Bryan Dean Walls, D.O.
• Kirsten Elena Wallskog, PHARMD
• Christie Wallsmith, M.D.
• Brittani Wallsten
• Daniel Michael Wallsten, CSWA

• Licensed Practical Nurse in Portland, OR
• Providers in Portland, OR by specialty
• Licensed Practical Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.