Andrea Denise Walker-Davis

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

1516 E Tropicana Ave Ste 154
Las Vegas, NV 89119-8316

Phone

(702) 268-8109

Fax

(702) 268-8009

NPI assigned

Apr 6, 2013

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• P.R.I.D.E. Services L.L.C.

  • Cognitive & Behavioral Psychologist
  • Las Vegas, NV
  • NPI 1407273360
  NPD Authorized official
• New Foundations

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Las Vegas, NV
  • NPI 1225467103
  NPD (past)

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

{
    "created_epoch": "1365206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1871836007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 E TROPICANA AVE STE 154",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891198316",
            "telephone_number": "702-268-8109",
            "fax_number": "702-268-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 E TROPICANA AVE STE 154",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891198316",
            "telephone_number": "702-268-8109",
            "fax_number": "702-268-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER-DAVIS",
        "first_name": "ANDREA",
        "middle_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-06",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lifechangersbh@servicingwithpride.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Angercy email address",
            "address_1": "1516 E Tropicana Ave Ste 154",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891198316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Walgreens Pharmacy
• Parwana Wali
• Walkbyfaith LLC
• Ta'Jana Walker-Collins
• Precious Hope Walker-Cook
• Jacquelyn Walker-Glenn
• Keyonna Walker-Horton
• Pamela Jo Walker-Kurcz, MSW, LCSW
• Diane Walker-Robinson
• Yvette Walker-Witherspoon

• Rehabilitation Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Rehabilitation Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.