Individual provider Active NPI

Brittney Alise Walden, APRN, FNP-BC

  • Family Medicine Physician
  • Palm Coast, FL
National Provider Identifier
1912469230
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
APRN11001858 Issued in FL
Practice address
264 Palm Coast Pkwy NE
Palm Coast, FL 32137-8217
Phone
(386) 446-5505
NPI assigned
Apr 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APRN11001858 FL Primary

Addresses

Primary practice location

264 Palm Coast Pkwy NE
Palm Coast, FL 32137-8217

Mailing address

5050 Luther Beck Rd
Hastings, FL 32145-5714
Phone (904) 669-1752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190619002764 FL Practitioner - Nurse Practitioner 8325372600 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
Island Doctors Intrastate LLCGroup PAC ID 5395161186, 74 clinicians
Roy H Hinman MD PAGroup PAC ID 3173584174, 9 clinicians

Practice addresses (Care Compare)

264 A Palm Coast Pkwy NE
Island Doctors Parkway
Palm Coast, FL 32137-8217
Phone (386) 446-5505

264 Palm Coast Pkwy NE
A
Palm Coast, FL 32137-8217
Phone (386) 446-5505

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Jacksonville, FL, CCN 107689

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11001858FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Island Doctors Intrastate LLC CurrentSince Feb 5, 2021 Accepting new patients
Roy H Hinman MD PA Family Medicine CurrentSince Apr 8, 2019 Accepting new patients

Locations

264 Palm Coast Pkwy NE
Palm Coast, FL 32137
Phone (386) 246-5075

264A Palm Coast Pkwy NE
Palm Coast, FL 32137
Phone (386) 446-5505

264 Palm Coast Pkwy NE
Ste B
Palm Coast, FL 32137
Phone (888) 820-1114

264 Palm Coast Pkwy NE
#A
Palm Coast, FL 32137
Phone (386) 446-5505

103 Anastasia Blvd
St Augustine, FL 32080
Phone (904) 825-4747

100 Arricola Ave
St Augustine, FL 32080
Phone (904) 825-4368

2460 Old Moultrie Rd
Ste 2
St Augustine, FL 32086
Phone (904) 293-0299

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1912469230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 LUTHER BECK RD",
            "city": "HASTINGS",
            "state": "FL",
            "postal_code": "321455714",
            "telephone_number": "904-669-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 PALM COAST PKWY NE",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378217",
            "telephone_number": "386-446-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDEN",
        "first_name": "BRITTNEY",
        "middle_name": "ALISE",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "APRN11001858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.