Diana Walker, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0010-06269 Issued in NC

Practice address

388 Venture Dr Ste I
Smithfield, NC 27577-4775

Phone

(919) 209-0796

Fax

(919) 209-0073

NPI assigned

Feb 8, 2016

Last updated

Feb 8, 2016By 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

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

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.

• Dermatology & Laser Center of Chapel Hill, PLLC

  • Dermatology Physician
  • Chapel Hill, NC
  • NPI 1114470523
  Medicare reassignment

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1952769788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 VENTURE DR STE I",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774775",
            "telephone_number": "919-209-0796",
            "fax_number": "919-209-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 VENTURE DR STE I",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774775",
            "telephone_number": "919-209-0796",
            "fax_number": "919-209-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "DIANA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-06269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1321)
• Wal-Mart Stores East, LP (Vision Center 1321)
• Walgreen Co (Rite Aid)
• Walgreen Co (Walgreens #09434)
• Walgreen Co (Rite Aid)
• Michele Walker, LCMHC
• Mackenzie Wall, DPT
• Taylor Ryan Washburn, LMBT 14448
• Jaclyn Wassel
• Kristen Golding Waters, MS, CCC-SLP

• Medical Physician Assistant in Smithfield, NC
• Providers in Smithfield, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.