Individual provider Active NPI

Sonia Leslie Walker, NP-C

  • Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1922386218
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R867644 Issued in MS
Practice address
3855 Azalea Dr
Jackson, MS 39206-5105
Phone
(601) 366-9447
Fax
(601) 366-9790
NPI assigned
Aug 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R867644 MS Primary

Addresses

Primary practice location

3855 Azalea Dr
Jackson, MS 39206-5105

Mailing address

3855 Azalea Dr
Jackson, MS 39206-5105
Phone (601) 366-9447

Other identifiers 1

IdentifierTypeStateIssuer
08208312MedicaidMS

Other names 1

  • Sonia Leslie McField Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20111101000654 MS Practitioner - Nurse Practitioner 3870766132 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3502 W Northside Dr
Jackson, MS 39213-4454
Phone (601) 362-5321

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R867644MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Mississippi Civic Improvement Association, Inc. CurrentSince Nov 9, 2017 Accepting new patients
Central Mississippi Civic Improvement Association, Inc. CurrentSince Nov 9, 2017 Accepting new patients
Community Care Health Network LLC Nurse Practitioner CurrentSince Apr 1, 2024 Accepting new patients
Central Mississippi Civic Improvement Association, Inc Current Accepting new patients
Central Mississippi Civic Improvement Association, Inc. Past Accepting new patients
Southeast Mississippi Rural Health Initiative, Inc. Past Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

3502 W Northside Dr
Jackson, MS 39213
Phone (601) 982-1625

350 W Woodrow Wilson Ave
Ste 600
Jackson, MS 39213
Phone (601) 815-6700

232 Market St
Jackson, MS 39232
Phone (588) 498-6767

350 W Woodrow Wilson Ave
Jackson, MS 39213
Phone (601) 364-2666

514 E Woodrow Wilson Ave
Ste Ab
Jackson, MS 39216
Phone (601) 321-2234

3502 W Northside Dr
Unit 5
Jackson, MS 39213

129 White Oak St
Utica, MS 39175
Phone (601) 885-6021

Interoperability endpoints

  • Direct secure messaging: sonia.walker.p1@direct.alegiscare.nextgenshare.com
  • Direct secure messaging: sonia.walker.p2@direct.alegiscare.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1922386218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 AZALEA DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392065105",
            "telephone_number": "601-366-9447",
            "fax_number": "601-366-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 AZALEA DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392065105",
            "telephone_number": "601-366-9447",
            "fax_number": "601-366-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "SONIA",
        "middle_name": "LESLIE",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-03",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R867644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08208312",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONIA",
            "last_name": "MCFIELD",
            "middle_name": "LESLIE",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.