BRENDA MOODY WALKER (NPI# 1013971761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013971761 |
| Entity Type | Individual |
| Full Name | BRENDA MOODY WALKER |
| Credential | RN,MSN,CFNP |
| Practice Address |
4407 Maccorkle Ave Se Charleston WV 25304-2541 |
| Mailing Address |
1118 Montrose Dr South Charleston WV 25303-2920 |
| Practice Telephone | 3049250392 |
| Practice Fax Number | 3048250392 |
| Mailing Telephone | 3043431863 |
| Mailing Fax Number | 3043441755 |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2020-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 18804 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0167011000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 830 Pennsylvania Ave, Suite 200, Charleston, WV 253023302 | 3043431863 | 3043441755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942810700 | Brenda L Walker | Nurse's Aide | 1915 Cordova Ave, Cincinnati, OH 45239-4704 | 2020-08-06 |
| 1750830428 | Brenda Ann Walker | Social Worker | 1302 Valparaiso Dr Apt J14, Florence, SC 29501-6199 | 2016-09-23 |
| 1215358296 | Brenda Walker | Counselor | 236 N Mebane St Ste 101, Burlington, NC 27217-3966 | 2013-12-18 |
| 1255603882 | Brenda Joy Walker I | Physical Therapy Assistant | 18850 Carmany Dr, Walton Hills, OH 44146-4412 | 2012-01-27 |
| 1225324007 | Brenda Maud Walker | Registered Nurse | 11727 193rd St, Ph, Saint Albans, NY 11412-3305 | 2011-06-21 |
| 1346558129 | Brenda Walker | Contractor | 270 1st Ave, 9f, New York, NY 10009-2619 | 2010-09-15 |
| 1306377395 | Brenda Jo Walker | Occupational Therapist | 1202 E Jackson Ave, Riverton, WY 82501-3866 | 2017-03-22 |
| 1558763425 | Brenda Walker | Counselor | 1233 S La Cienega Blvd, Los Angeles, CA 90035-2520 | 2014-09-22 |
| 1336576925 | Brenda Kay Walker | Physical Therapy Assistant | 303 N Hurstbourne Pkwy, Suite 200, Louisville, KY 40222-5185 | 2013-09-27 |
| 1174873137 | Brenda Walker | Technician, Other | 1850 S Deleon Ave, Titusville, FL 32780-7733 | 2012-09-17 |
| Street Address |
4407 MACCORKLE AVE SE |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25304-2541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407466535 | Valley Health Systems, Inc | Pediatrics | 4407 Maccorkle Ave Se, Charleston, WV 25304-2541 | 2020-08-04 |
| 1285283390 | Chelsea Salvatore | Nurse Practitioner | 4407 Maccorkle Ave Se, Charleston, WV 25304-2541 | 2019-09-11 |
| 1659701738 | Heather N Hudson | Physician Assistant | 4407 Maccorkle Ave Se, Charleston, WV 25304-2541 | 2013-11-26 |
| 1437404852 | Michelle Arceneaux Proops | Nurse Practitioner | 4407 Maccorkle Ave Se, 2nd Floor, Charleston, WV 25304-2505 | 2012-07-23 |
| 1821267154 | Robert Scott Milam | Physician Assistant | 4407 Maccorkle Ave Se, Charleston, WV 25304-2505 | 2008-02-20 |
| 1144340787 | Applachain Pain Therapy Institute | Pain Medicine | 4407 Maccorkle Ave Se, Charleston, WV 25304-2505 | 2007-03-29 |
| 1346310893 | Hanger Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 4407 Maccorkle Ave Se, Charleston, WV 25304-2541 | 2006-11-09 |
| 1417067539 | Tracy Lynn Smith | Psychologist | 4407 Maccorkle Ave Se, Charleston, WV 25304-2541 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893908 | Sade Yvonne Rice | Technician | 392 B South Parkd Rd, Charleston, WV 25304 | 2020-08-27 |
| 1053931410 | Pir Ali Shah | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 | 2020-04-25 |
| 1649807603 | Jasmine Shah | Student in an Organized Health Care Education/Training Program | 3110 Maccorkle Avenue, Se, Student Services Department - Wvu Building, 4th Floor, Charleston, WV 25304 | 2020-03-26 |
| 1447811872 | Kwasi Amponsah Gambrah | Student in an Organized Health Care Education/Training Program | 3200 Mac Corkle Ave. Se, Robert C. Byrd Clinical Teaching Center, 5th Floor, Charlestoni, WV 25304 | 2019-06-26 |
| 1457916751 | Divya Kalluru | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast, Robert C. Bird Clinica, 4th Floor Internal Medicine Department, Charleston, WV 25304 | 2019-05-02 |
| 1841854965 | Sean Michael Percy Losier | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave., Se, Camc Family Medicine Center Robert C. Byrd Clinical Tea, Charleston, WV 25304 | 2019-04-24 |
| 1700440047 | Priyanka Chowdhry | Student in an Organized Health Care Education/Training Program | Robert C. Bird Clinical Training Center, 4th Floor, 3200 Maccorkle Avenue, Southeast, Charleston, WV 25304 | 2019-04-23 |
| 1568925469 | Saranya Dinesan | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave. Se, 4th Floor, Robert C. Byrd Clini, Charleston, WV 25304 | 2019-04-09 |
| 1043771694 | Mary Elizabeth Novak | Student in an Organized Health Care Education/Training Program | Camc Memorial Hospital, Surgicare Center, 3200 Maccorkle Ave Se, Charleston, WV 25304 | 2019-03-27 |
| 1124518600 | Abdullah Sohail | Student in an Organized Health Care Education/Training Program | 4th Floor, 3200 Maccorkle Ave, South East Robert C. Bir, Charleston, WV 25304 | 2018-05-10 |
| Find all providers in zip 25304 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043842230 | Lisa Ann Hahl | Nurse Practitioner | 30 Courtenay Drive Room 217, Msc 592, Charleston, SC 29425-8911 | 2020-02-06 |
| 1497394290 | Allison Smith | Nurse Practitioner | 1001 Centre Way, Charleston, WV 25309-9427 | 2019-12-27 |
| 1770129553 | Elizabeth Ashley Halicki | Nurse Practitioner | 96 Jonathan Lucas St Ste 420, Charleston, SC 29425-8900 | 2019-11-26 |
| 1144784919 | Danielle Alyssa Paquette | Nurse Practitioner | 30 Courtenay Dr Suite 282 Msc 295, Charleston, SC 29425-0001 | 2019-01-25 |
| 1649752791 | Ashley Catherine Waybright | Nurse Practitioner | 3100 Maccorkle Ave Se Ste 904, Charleston, WV 25304-1234 | 2018-09-05 |
| 1679069090 | Jessica Ueda | Nurse Practitioner | 310 35th St Se Ste 11, Charleston, WV 25304-1352 | 2018-07-09 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1962913038 | Kasey Brown | Nurse Practitioner | 830 Pennsylvania Ave Ste 110, Charleston, WV 25302-3389 | 2017-10-17 |
| 1841700440 | Laura Cunnings | Nurse Practitioner | 202 Georgetown Pl, Charleston, WV 25314-1866 | 2017-10-09 |
| 1386163392 | Primary Care At Home of West Virginia, LLC | Nurse Practitioner | 414 Greenway Ave Ste 201, Charleston, WV 25309-1475 | 2017-09-12 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25304 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.