Individual provider Active NPI

Dawn Walker, FNP

  • Family Nurse Practitioner
  • McKenzie, TN
National Provider Identifier
1912468505
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25564 Issued in TN
Practice address
205A Hospital Dr
MC Kenzie, TN 38201-1649
Phone
(731) 352-7907
Fax
(731) 352-4459
NPI assigned
Mar 27, 2019
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 25564 TN Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2023032341 TN

Addresses

Primary practice location

205A Hospital Dr
MC Kenzie, TN 38201-1649

Mailing address

205A Hospital Dr
MC Kenzie, TN 38201-1649
Phone (731) 352-7907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190424001322 TN Practitioner - Nurse Practitioner 8729320692 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McKenzie Medical Center PCGroup PAC ID 2365427853, 32 clinicians

Practice addresses (Care Compare)

205 A Hospital Dr
MC Kenzie, TN 38201-2024
Phone (901) 352-7907

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2023032341TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McKenzie Medical Center PC CurrentSince Dec 1, 2020 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 26, 2019 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 26, 2019 Accepting new patients
McKenzie Medical Center PC Family Current Accepting new patients
McKenzie Medical Center PC Current Accepting new patients
McKenzie Medical Center PC CurrentSince Dec 1, 2020 Accepting new patients
McKenzie Medical Center PC Family Past Accepting new patients

Locations

30810 Broad St
Bruceton, TN 38317
Phone (731) 586-4800

284 Highway 641 N
Camden, TN 38320
Phone (731) 213-2446

105 N Cedar St
Gleason, TN 38229
Phone (731) 648-5634

2634 N Central Ave
Humboldt, TN 38343
Phone (731) 324-1526

205 Court Sq
#A
Huntingdon, TN 38344
Phone (731) 535-5765

1894 Cedar St
Mc Kenzie, TN 38201
Phone (731) 207-6496

205 Hospital Dr
Ste A
Mc Kenzie, TN 38201
Phone 7313527907 ext. 429

205C Hospital Dr
Mc Kenzie, TN 38201
Phone (731) 352-0820

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.

NPI Registry JSON

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1912468505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205A HOSPITAL DR",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382011649",
            "telephone_number": "731-352-7907",
            "fax_number": "731-352-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205A HOSPITAL DR",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382011649",
            "telephone_number": "731-352-7907",
            "fax_number": "731-352-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "DAWN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "25564",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "2023032341",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKenzie, TN

Sources for this page

Verify at the official NPI Registry.