Kelly Marie Walker, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5007072 Issued in NC

Practice address

1200 N Elm St
Greensboro, NC 27401-1004

Phone

(336) 207-7005

NPI assigned

Jul 17, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wake Forest University Health SciencesGroup PAC ID 4486564952, 2,633 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kwalker251968@direct.novanthealth.org
• Direct secure messaging: kwalker2753363@carolinashealthcaresystem.direct-ci.com

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.

• Wake Forest University Health Sciences

  • Multi-Specialty Clinic/Center
  • Winston Salem, NC
  • NPI 1003803032

  NC

  Medicare reassignment Care Compare group NPD
• Carolina Medicorp Enterprises, LLC

  • Urgent Care Clinic/Center
  • Charlotte, NC
  • NPI 1760950646

  NC

  Medicare reassignment NPD
• Novant Health Medical Group, LLC

  • Neurology with Special Qualifications in Child Neurology Physician
  • Charlotte, NC
  • NPI 1366409492

  NC

  Medicare reassignment NPD
• Wake Forest University Health Sciences

  • Durable Medical Equipment & Medical Supplies
  • High Point, NC
  • NPI 1013684349
  Care Compare group
• Wake Forest University Health Sciences

  • Durable Medical Equipment & Medical Supplies
  • Kernersville, NC
  • NPI 1033987326
  Care Compare group
• Wake Forest University Health Sciences

  • Durable Medical Equipment & Medical Supplies
  • Asheboro, NC
  • NPI 1043781990
  Care Compare group
• Wake Forest University Health Sciences

  • Durable Medical Equipment & Medical Supplies
  • High Point, NC
  • NPI 1083100291
  Care Compare group
• Wake Forest University Health Sciences

  • Durable Medical Equipment & Medical Supplies
  • Salisbury, NC
  • NPI 1114670080
  Care Compare group
• Wake Forest University Health Sciences

  • Multi-Specialty Clinic/Center
  • Winston Salem, NC
  • NPI 1134731227
  Care Compare group
• Wake Forest University Health Sciences

  • Durable Medical Equipment & Medical Supplies
  • Asheboro, NC
  • NPI 1134874514
  Care Compare group
• Wake Forest University Health Sciences

  • Durable Medical Equipment & Medical Supplies
  • Winston Salem, NC
  • NPI 1245821875
  Care Compare group
• Wake Forest University Health Sciences

  • Durable Medical Equipment & Medical Supplies
  • Greensboro, NC
  • NPI 1275071482
  Care Compare group

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1962819334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011004",
            "telephone_number": "336-207-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011004",
            "telephone_number": "336-207-7005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3163 Gammon Ln",
            "address_purpose": "LOCATION",
            "city": "Clemmons",
            "state": "NC",
            "postal_code": "270129052",
            "country_code": "US",
            "telephone_number": "336-310-5571",
            "fax_number": "336-310-5574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-17",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5007072",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "129120",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwalker251968@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1200 N Elm St",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274011004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwalker251968@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "3163 Gammon Ln",
            "city": "Clemmons",
            "state": "NC",
            "country_code": "US",
            "postal_code": "270129052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jada Walker
• Jamilla Walker
• Judith A Walker, D.D.S.
• Judy Sturdivant Walker, RN
• Karen Lynn Walker, CRNA
• Luz Elena Walker, CRNA
• Matthew William Walker
• Melanie Grace Walker
• Nasya Walker
• Neasha Walker, LPCA

• All providers in Greensboro, NC
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.

Verify at the official NPI Registry.