Georganne Walker, P.N.P.

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

NP7149 Issued in CA

Practice address

1332 Park St Ste 200
Alameda, CA 94501-4553

Phone

(510) 523-3123

Fax

(510) 864-1934

NPI assigned

Sep 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942308903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 PARK ST STE 200",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014553",
            "telephone_number": "510-523-3123",
            "fax_number": "510-864-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 PARK ST STE 200",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014553",
            "telephone_number": "510-523-3123",
            "fax_number": "510-864-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "GEORGANNE",
        "credential": "P.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "NP7149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #15666)
• Walgreen Co (Walgreens #09248)
• Walgreen Co (Walgreens #04050)
• Beth Marie Walker Gram, LAC
• Elaina Walker
• Shanique Elizabeth Walker, LCSW
• Lashonda M Wallace
• Tim Wallace
• Jamie Elise Wallach, MD
• Emily Louise-Paula Walters, MSW CANDIDATE

• Pediatric Nurse Practitioner in Alameda, CA
• Providers in Alameda, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.