Keisha Walker, RPT/ RMA

Primary specialty

EEG TechnicianTaxonomy code 2472E0500X

Practice address

3300 Holcomb Bridge Rd Ste 250
Norcross, GA 30092-3298

Phone

(770) 702-0340

NPI assigned

Feb 9, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Medical Assistant

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1871247650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 BROWNING BEND CT",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197775",
            "telephone_number": "770-702-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 HOLCOMB BRIDGE RD STE 250",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300923298",
            "telephone_number": "770-702-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KEISHA",
        "credential": "RPT/ RMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2472E0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other, EEG",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Walgreen Co
• Charmaine Walker
• D'Amber Walker
• Jessie Leo Walker, MASSAGE THERAPIST
• William H. Wall, D.D.S.
• Alex Nicole Wylie Wallace
• Camille L Walton, M.S.
• Lizhen Wang, MD
• Soo Hyun Wang, PT, DPT

• Other Technician in Norcross, GA
• Providers in Norcross, GA by specialty
• Other Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.