Active NPI
Jacqueline Walker, NP
- Family Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP8982
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209109 | Medicaid | AZ |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth Ambulatory | Current | 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 | Current | Accepting new patients | |
| Scottsdale Healthcare Corporation | Current | Accepting new patients | |
| Modern Vascular of Tucson, LLC | Current | Accepting new patients | |
| Scottsdale Healthcare Corp | Current | Accepting new patients | |
| Honorhealth Medical Group, LLC | Current | Accepting new patients | |
| Honorhealth Ambulatory | Past | Accepting new patients | |
| Integrated Pain Consultants, LLC | Past | 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
- 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.
-
dba HonorHealth Research Institute
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1407050917
-
- Primary Care Clinic/Center
- Peoria, AZ
- NPI 1043851793
-
- Vascular & Interventional Radiology Physician
- Tucson, AZ
- NPI 1255896544
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1891518130
-
dba John C. Lincoln LLC dba Arcadia Family Clinic
- Family Medicine Physician
- Phoenix, AZ
- NPI 1033104716
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1285338343
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1174994495
-
- Family Medicine Physician
- Tempe, AZ
- NPI 1407228760
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1578590303
-
- Cardiovascular Disease Physician
- Scottsdale, AZ
- NPI 1275833915
-
dba Scottsdale Healthcare Gastroenterology and Endoscopy
- Surgery Physician
- Scottsdale, AZ
- NPI 1457505828
-
- Pain Medicine (Anesthesiology) Physician
- Phoenix, AZ
- NPI 1013582279
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HonorHealth Scottsdale Shea Medical Center
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1386608859
-
dba HonorHealth Scottsdale Thompson Peak Medical Center
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1417152745
-
dba HonorHealth John C. Lincoln Medical Center
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1770690695
-
dba HonorHealth Scottsdale Osborn Medical Center
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1811951429
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.