Individual provider Active NPI

Danielle Walker, M.D.

  • Pediatrics Physician
  • Lubbock, TX
National Provider Identifier
1962813600
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
R2498 Issued in TX
Practice address
4015 22ND PL
Lubbock, TX 79410-1119
Phone
(806) 725-6490
Fax
(806) 723-6714
NPI assigned
May 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X R2498 TX
Pediatrics Physician 208000000X R2498 TX Primary

Addresses

Primary practice location

4015 22ND PL
Lubbock, TX 79410-1119

Mailing address

PO Box 5865
Lubbock, TX 79408-5865
Phone (806) 743-2898

Other practice location 1

4102 24th St Ste 507
Lubbock, TX 79410-1805
Phone (806) 743-7334

Other practice location 2

3601 4th St
TTUHSC Dept. of Pediatrics
Lubbock, TX 79430-0002
Phone (806) 743-6630

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address danielle.walker@direct.myteamcare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170808003825 TX Practitioner - Pediatric Medicine 7214236231 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R2498TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Lubbock Pediatrics CurrentSince Jul 1, 2017 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Jul 1, 2017 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Past Accepting new patients
Methodist Children'S Hospital Past Accepting new patients

Locations

3502 9th St
Ste 130
Lubbock, TX 79415
Phone (806) 743-1188

4102 24th St
Ste 507
Lubbock, TX 79410
Phone (806) 725-7750

4015 22nd Pl
Lubbock, TX 79410
Phone (806) 725-0000

3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000

Interoperability endpoints

  • Direct secure messaging: danielle.walker@direct.myteamcare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1962813600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5865",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794085865",
            "telephone_number": "806-743-2898",
            "fax_number": "806-743-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 22ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101119",
            "telephone_number": "806-725-6490",
            "fax_number": "806-723-6714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4102 24th St Ste 507",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794101805",
            "country_code": "US",
            "telephone_number": "806-743-7334",
            "fax_number": "806-743-7332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3601 4th St",
            "address_2": "TTUHSC Dept. of Pediatrics",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794300002",
            "country_code": "US",
            "telephone_number": "806-743-6630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "DANIELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-15",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "R2498",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "R2498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "danielle.walker@direct.myteamcare.com",
            "affiliation": "N",
            "address_1": "4102 24th St Ste 507",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794101805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.