Individual provider Active NPI

Marie J Walker, CRNA

  • Certified Registered Nurse Anesthetist
  • Henrico, VA
National Provider Identifier
1912970054
Registry record updated Mar 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024037126 Issued in VA
Practice address
7640 E Parham Road
Parham Surgery Center
Henrico, VA 23294
Phone
(904) 591-2200
Fax
(804) 591-2236
NPI assigned
Feb 9, 2006
Last updated
Mar 29, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024037126 VA Primary

Addresses

Primary practice location

7640 E Parham Road
Parham Surgery Center
Henrico, VA 23294

Mailing address

PO Box 17978
Richmond, VA 23226-7978
Phone (804) 288-4453

Other identifiers 1

IdentifierTypeStateIssuer
010316511MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
11509TNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Physician Services Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Advanced Ambulatory Anesthesia, Inc Past Accepting new patients
Anesthesia Associates of Richmond, Inc Past Accepting new patients

Organizations & group practices 3

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364515200000",
    "number": "1912970054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17978",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232267978",
            "telephone_number": "804-288-4453",
            "fax_number": "804-288-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7640 E PARHAM ROAD",
            "address_2": "PARHAM SURGERY CENTER",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "23294",
            "telephone_number": "904-591-2200",
            "fax_number": "804-591-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MARIE",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2013-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024037126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010316511",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; 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.