Individual provider Active NPI

Jacqueline Walker, NP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1922400811
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP8982 Issued in AZ
Practice address
20045 N. 19TH Avenue
BLDG 10, Suite 3
Phoenix, AZ 85027
Phone
(480) 626-2552
Fax
(480) 626-2551
NPI assigned
Sep 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X IN
Family Nurse Practitioner 363LF0000X AP8982 AZ Primary

Addresses

Primary practice location

20045 N. 19TH Avenue
BLDG 10, Suite 3
Phoenix, AZ 85027

Mailing address

1234 E Dupont Rd
Suite 3
Fort Wayne, IN 46825-1545
Phone (260) 373-9700

Other practice location 1

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 266-2020

Other identifiers 1

IdentifierTypeStateIssuer
209109MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20161128001227 AZ Practitioner - Nurse Practitioner 3577885573 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

10510 N 92ND St
Scottsdale, AZ 85258-4566

20745 N Scottsdale Rd
Suite 120
Scottsdale, AZ 85255-6453
Phone (480) 882-7510

7400 E Osborn Rd
Scottsdale, AZ 85251-6432
Phone (480) 882-6700

7400 E Thompson Peak Pkwy
Scottsdale, AZ 85255-4109
Phone (480) 324-7000

9003 E Shea Blvd
Scottsdale, AZ 85260-6709
Phone (480) 323-3000

9201 E Mountain View Rd
Scottsdale, AZ 85258-5140

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince Nov 1, 2016 Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Squaw Peak Family Physicians PC Current Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Nov 1, 2016 Accepting new patients
Scottsdale Healthcare Corporation CurrentSince Nov 1, 2016 Accepting new patients
Modern Vascular of Tucson, LLC CurrentSince Aug 1, 2019 Accepting new patients
Scottsdale Healthcare Corp CurrentSince Nov 1, 2016 Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth Ambulatory Past Accepting new patients
Integrated Pain Consultants, LLC PastSince May 25, 2021 Accepting new patients
Honorhealth Ambulatory Past Accepting new patients

Locations

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

4712 E Dynamite Blvd
Cave Creek, AZ 85331
Phone (480) 342-8711

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

1610 W Glendale Ave
#128
Phoenix, AZ 85021
Phone (623) 780-1999

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

4131 N 24th St
Ste B102
Phoenix, AZ 85016
Phone (602) 955-6632

9327 N 3rd St
Ste 100
Phoenix, AZ 85020
Phone (602) 371-3100

18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

19636 N 27th Ave
Ste 408
Phoenix, AZ 85027
Phone (623) 780-0100

20745 N Scottsdale Rd
Ste 105
Scottsdale, AZ 85255
Phone (480) 534-4525

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

10200 N 92nd St
Ste 150
Scottsdale, AZ 85258
Phone (480) 860-8488

10250 N 92nd St
Ste 210
Scottsdale, AZ 85258
Phone (480) 424-7228

20745 N Scottsdale Rd
Ste 120
Scottsdale, AZ 85255
Phone (480) 882-7510

3501 N Scottsdale Rd
Ste 320
Scottsdale, AZ 85251
Phone (480) 424-7228

2171 W Orange Grove Rd
Tucson, AZ 85741
Phone (520) 201-4980

26500 Agoura Rd
Ste 102587
Calabasas, CA 91302
Phone (818) 880-8605

Interoperability endpoints

  • Direct secure messaging: jwalker154044@direct.honorhealth.com

Organizations & group practices 12

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 4

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": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1922400811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 E DUPONT RD",
            "address_2": "SUITE 3",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251545",
            "telephone_number": "260-373-9700",
            "fax_number": "260-373-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20045 N. 19TH AVENUE",
            "address_2": "BLDG 10, SUITE 3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85027",
            "telephone_number": "480-626-2552",
            "fax_number": "480-626-2551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11109 Parkview Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468451701",
            "country_code": "US",
            "telephone_number": "260-266-2020",
            "fax_number": "260-266-2009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JACQUELINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209109",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.