Individual provider Active NPI

Joan Walker, MD

  • Family Medicine Physician
  • Natchitoches, LA
National Provider Identifier
1861484933
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
025544 Issued in LA
Practice address
1640 Breazeale Springs St
Natchitoches, LA 71457-4278
Phone
(318) 357-2056
Fax
(318) 521-8031
NPI assigned
Aug 16, 2005
Last updated
Oct 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 025544 LA Primary

Addresses

Primary practice location

1640 Breazeale Springs St
Natchitoches, LA 71457-4278

Mailing address

105 Jefferson St
Natchitoches, LA 71457-4350
Phone (318) 357-2086

Other identifiers 2

IdentifierTypeStateIssuer
1577804MedicaidLA
080191197OtherRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vfontes@outpatientmedical.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050428001100 LA Practitioner - Family Practice 3274572284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

431 W Lafayette St
Winnfield, LA 71483-3463
Phone (318) 648-0375

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
025544LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifestyle Medicine ,LLC Current Accepting new patients
Winn Community Health Center, Inc. Current Accepting new patients
Winn Community Health Center, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Outpatient Medical Center, Inc. Family Medicine CurrentSince Oct 25, 2020 Accepting new patients
Winn Community Health Center, Inc. Family Medicine CurrentSince Oct 1, 2021 Accepting new patients
Vincent D. Mallory MD., LLC Past Accepting new patients
Winn Community Health Center, Inc. Past Accepting new patients

Locations (25 of 38)

122 Maryland Ave
Alexandria, LA 71301
Phone (318) 628-0088

1319 Bush Ave
Alexandria, LA 71301

2101 Vance Ave
Alexandria, LA 71301
Phone (318) 693-1303

2200 N Bolton Ave
Alexandria, LA 71303
Phone (318) 693-1311

2727 Jones Ave
Alexandria, LA 71302
Phone (318) 209-4510

2905 Horseshoe Dr
Alexandria, LA 71301
Phone (318) 545-7847

310 Richmond Dr
Alexandria, LA 71302

3100 Jones Ave
Alexandria, LA 71302

3111 Jones Ave
Alexandria, LA 71302

4102 Wakefield Blvd
Alexandria, LA 71303

4203 Lisa St
Alexandria, LA 71302
Phone (318) 545-7845

4500 Lincoln Rd
Alexandria, LA 71302
Phone (318) 545-7843

4645 Lincoln Rd
Alexandria, LA 71302
Phone (318) 545-7844

4800 Dawn St
Alexandria, LA 71301

505 Texas Ave
Alexandria, LA 71301
Phone (318) 704-6283

5700 Prescott Rd
Alexandria, LA 71301
Phone (318) 545-7846

601 Cloverleaf Blvd
Alexandria, LA 71303
Phone (318) 442-0878

800 Ola St
Alexandria, LA 71303

4310 Pardue Rd
Ball, LA 71405
Phone (318) 545-6414

89 Camp Livingston Rd
Ball, LA 71405
Phone 3186480375228

340 Webb Smith Dr
Colfax, LA 71417
Phone (318) 627-3700

642 Highway 1207
Deville, LA 71328
Phone (318) 545-6416

646 Highway 1207
Deville, LA 71328
Phone (318) 545-6416

7362 Highway 112
Elmer, LA 71424

338 Moreau St
Marksville, LA 71351
Phone (318) 253-5647

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8733/brand/1/csg/1/fhir/r4
  • Direct secure messaging: joan.walker@lincolnchc.eclinicaldirectplus.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1861484933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 JEFFERSON ST",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714574350",
            "telephone_number": "318-357-2086",
            "fax_number": "318-521-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 BREAZEALE SPRINGS ST",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714574278",
            "telephone_number": "318-357-2056",
            "fax_number": "318-521-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JOAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "025544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1577804",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080191197",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vfontes@outpatientmedical.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "messaging",
            "address_1": "1640 Breazeale Springs St",
            "city": "Natchitoches",
            "state": "LA",
            "country_code": "US",
            "postal_code": "714574278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Natchitoches, LA

Sources for this page

Verify at the official NPI Registry.