Individual provider Active NPI

Stormy B Walker, NP-C

  • Pediatric Nurse Practitioner
  • West Columbia, SC
National Provider Identifier
1962994160
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
21916 Issued in SC
Practice address
3240 Sunset Blvd
West Columbia, SC 29169-3428
Phone
(803) 359-8855
Fax
(803) 794-6480
NPI assigned
Jun 4, 2018
Last updated
Jul 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 21916 SC Primary
Pediatric Gastroenterology Physician 2080P0206X 21916 SC

Addresses

Primary practice location

3240 Sunset Blvd
West Columbia, SC 29169-3428

Mailing address

PO Box 6069
West Columbia, SC 29171-6069

Other practice location 1

4080 Augusta Hwy Ste 100
Gilbert, SC 29054-8893
Phone (803) 892-1800

Other practice location 2

4080 Augusta Hwy Ste 100
Gilbert, SC 29054-8893
Phone (803) 892-1800

Other identifiers 1

IdentifierTypeStateIssuer
NP5283MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address swalker3078@direct.lexmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20180821001512 SC Practitioner - Nurse Practitioner 5092064238 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands Current Accepting new patients
Palmetto Health - University of South Carolina Medical Group CurrentSince Jul 30, 2018 Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients
Lexington Health Inc Current Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Jul 30, 2018 Accepting new patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients
Lexington Health Inc Past Accepting new patients

Locations

14 Richland Medical Park Dr
Ste 310
Columbia, SC 29203
Phone (803) 252-9907

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

2113 Adams Grv
Ste 200
Columbia, SC 29203
Phone (803) 254-1006

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

3240 Sunset Blvd
West Columbia, SC 29169
Phone (803) 359-8855

Interoperability endpoints

  • Direct secure messaging: swalker3078@direct.lexmed.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1962994160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291716069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693428",
            "telephone_number": "803-359-8855",
            "fax_number": "803-794-6480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4080 Augusta Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "SC",
            "postal_code": "290548893",
            "country_code": "US",
            "telephone_number": "803-892-1800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4080 Augusta Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "SC",
            "postal_code": "290548893",
            "country_code": "US",
            "telephone_number": "803-892-1800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "STORMY",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "SC",
            "license": "21916",
            "primary": true
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "SC",
            "license": "21916",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP5283",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swalker3078@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "3240 Sunset Blvd",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291693428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.