Tasha) Walker, PSYCHOLOGY

Primary specialty

Adult Development & Aging PsychologistTaxonomy code 103TA0700X

License

S20588707 Issued in MO

Practice address

5828 Pamplin Ave
Saint Louis, MO 63147-1018

Phone

(314) 265-2713

NPI assigned

Feb 7, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1952866543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5828 PAMPLIN AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631471018",
            "telephone_number": "314-265-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5828 PAMPLIN AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631471018",
            "telephone_number": "314-265-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "TASHA)",
        "name_prefix": "Dr.",
        "credential": "PSYCHOLOGY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "MO",
            "license": "S20588707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "S20488707",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosie Walker
• Shanaye Nicole Walker, LPN
• Showna Walker
• Sydney Walker, RN
• Taquera Walker
• Taylor Sharae Walker
• Ted Walker, M.D.
• Virginia Walker
• Yuri Nicholas Walker, RN, JD
• Walking Each Other Home Wellness LLC

• Adult Development & Aging Psychologist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Adult Development & Aging Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; 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.