Laodecia Walker, REGISTERED NURSE

Primary specialty

Hospice Registered NurseTaxonomy code 163WH1000X

License

378812 Issued in CA

Practice address

28264 Spring Creek Way
Menifee, CA 92585-9382

Phone

(951) 415-1115

NPI assigned

Jul 19, 2021

Last updated

Jul 19, 2021By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1902479835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28264 SPRING CREEK WAY",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925859382",
            "telephone_number": "951-575-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28264 SPRING CREEK WAY",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925859382",
            "telephone_number": "951-415-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "LAODECIA",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Hospice",
            "state": "CA",
            "license": "378812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Wagner, MS, BS
• Walgreen Co (Walgreens #06127)
• Walgreen Co (Walgreens #06126)
• Destiny Walker
• Jason R Walker
• Natalie Walker
• Samuel Robert Wallace-Douglas
• Christopher Walters, DDS
• Nicholas Roy Walworth, O.D.
• Kera Washburn, CCC-SLP

• Hospice Registered Nurse in Menifee, CA
• Providers in Menifee, CA by specialty
• Hospice Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.