Organization Active NPI

Walker Wellness PLLC

  • Chiropractor
  • Danville, KY
National Provider Identifier
1861985038
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5487 Issued in KY
Legal business name
WALKER WELLNESS PLLC
Practice address
100 Brenda Ave
Danville, KY 40422-8713
Phone
(859) 236-6994
Fax
(859) 236-0855
NPI assigned
Jun 12, 2018
Last updated
Jun 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Authorized official

Name
Dr. Blake A Walker, DCNPI 1114384468
Title
Owner
Phone
(859) 236-6994

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
Chiropractor 111N00000X 5487 KY Primary

Addresses

Primary practice location

100 Brenda Ave
Danville, KY 40422-8713

Mailing address

100 Brenda Ave
Danville, KY 40422-8713
Phone (859) 236-6994

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180626001944 KY Part B Supplier - Clinic/Group Practice 9032464474 Receives reassigned benefits from 1 practitioner
Practice locations: Danville, KY

National Provider Directory

National Provider Directory

Locations

100 Brenda Ave
Danville, KY 40422
Phone (606) 236-6994

Practitioners & affiliated clinicians

Practitioners 5

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": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528761600000",
    "number": "1861985038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BRENDA AVE",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404228713",
            "telephone_number": "859-236-6994",
            "fax_number": "859-236-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BRENDA AVE",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404228713",
            "telephone_number": "859-236-6994",
            "fax_number": "859-236-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKER WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-236-6994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.