Susan Kae Walker, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN.0004340-NP Issued in CO

Practice address

129 Kansas Ave
Walsenburg, CO 81089-1818

Phone

(719) 738-5200

Fax

(719) 738-2732

NPI assigned

Apr 17, 2007

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: susan.walker.np@direct.sprhc.org

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.

• Huerfano County Hospital District

  • Rural Health Clinic/Center
  • Walsenburg, CO
  • NPI 1154799526
  Medicare reassignment NPD
• Huerfano County Hospital District

  • Surgery Physician
  • Walsenburg, CO
  • NPI 1164835419
  Medicare reassignment NPD
• Huerfano County Hospital District

  • Non-Surgical Family Planning Clinic/Center
  • Walsenburg, CO
  • NPI 1346403375
  Medicare reassignment NPD
• Huerfano County Hospital District

  • Primary Care Clinic/Center
  • La Veta, CO
  • NPI 1760851737
  Medicare reassignment

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1972729192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23500 US HIGHWAY 160",
            "city": "WALSENBURG",
            "state": "CO",
            "postal_code": "810899524",
            "telephone_number": "719-738-5100",
            "fax_number": "719-738-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 KANSAS AVE",
            "city": "WALSENBURG",
            "state": "CO",
            "postal_code": "810891818",
            "telephone_number": "719-738-5200",
            "fax_number": "719-738-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "SUSAN",
        "middle_name": "KAE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2022-08-12",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0004340-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85475742",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "susan.walker@sprhc.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Susan Walker Spanish Peaks RHC DIRECT Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "129 Kansas Ave",
            "city": "Walsenburg",
            "state": "CO",
            "country_code": "US",
            "postal_code": "810891818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vigil Enterprises
• James Theodore Vigil, D.C.
• Jerriann Vigil, PHYSICIAN ASSISTANT
• Sandeep Suresh Vijan, MD
• Solomon Villalon, M.D.
• Walsen Clinic
• Dana Walsh
• Philip Owen Warlick, DDS
• Timothy Whitthorne III
• William T Beverly

• Nurse Practitioner in Walsenburg, CO
• Providers in Walsenburg, CO by specialty
• Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.