MR. JEREMY WALKER (NPI# 1164970570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164970570 |
| Entity Type | Individual |
| Full Name | MR. JEREMY WALKER |
| Credential | FNP-C |
| Practice Address |
506 Chestnut St South Charleston WV 25309-1204 |
| Mailing Address |
4605 Maccorkle Ave Sw Ths Physician Partners, Inc. Admin Ofc South Charleston WV 25309-1311 |
| Practice Telephone | 3047668558 |
| Practice Fax Number | 3047668561 |
| Mailing Telephone | 3044144800 |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2020-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
82794 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 1164970570 (THSPP) | 05 | |
| WV | 3810024049 (GROUP) | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 122 Center St, Clay, WV 250437046 | 3045877301 | 3045872464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790137073 | Jeremy Walker | Dentist | 1353 N Meridian Rd, Ste 101, Kuna, ID 83634 | 2016-07-11 |
| 1447883921 | Jeremy Keith Walker | Respiratory Therapist, Registered | 1401 N 10th Ave, Stayton, OR 97383-1311 | 2020-02-13 |
| 1003373234 | Jeremy Walker | Behavior Technician | 32824 Wolf Store Rd, Temecula, CA 92592-9672 | 2019-02-24 |
| 1679991830 | Jeremy Stephen Walker | Internal Medicine | 650 Huebner Rd, Fort Riley, KS 66442 | 2014-04-03 |
| 1326391855 | Jeremy Darrel Walker | Physical Therapy Assistant | 306 Stanaford Rd, Beckley, WV 25801-3142 | 2012-10-22 |
| 1508128885 | Jeremy Warren Walker | Internal Medicine | 1400 River Pl, Braselton, GA 30517-5600 | 2012-06-12 |
| 1699062364 | Jeremy Walker | Anesthesiology | 3601 The Vanderbilt Clinic, Nashville, TN 37232-4222 | 2011-07-01 |
| 1245550953 | Jeremy F Walker | Specialist | 7086 8th Ave, Jenison, MI 49428-9352 | 2010-06-03 |
| 1063735884 | Jeremy Walker | Massage Therapist | 80 Center Sq, East Longmeadow, MA 01028-2449 | 2010-03-08 |
| Street Address |
506 CHESTNUT ST |
| City | SOUTH CHARLESTON |
| State | WV |
| Zip Code | 25309-1204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598223216 | Lisa R Mallory | Nurse Practitioner | 506 Chestnut St, South Charleston, WV 25309-1204 | 2019-03-12 |
| 1659661577 | Christy Ann Estep | Family Medicine | 506 Chestnut St, South Charleston, WV 25309 | 2011-04-12 |
| 1225276397 | Amy Marie Combs | Physician Assistant | 506 Chestnut St, South Charleston, WV 25309-1204 | 2009-01-28 |
| 1538243852 | Drs Dewitt & Gibson, Pllc | Family Medicine | 506 Chestnut St, South Charleston, WV 25309-1204 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376905 | Lovie Bradshaw | Technician | 4823 Tennessee St., South Charleston, WV 25309 | 2020-11-03 |
| 1306447735 | Barbara Mackenzie | Technician | 4224 Kanawha Turnpike, South Charleston, WV 25309 | 2020-11-03 |
| 1548861974 | Sarah Nichols | Technician | 4990 Colonial Park Dr. Apt. F, South Charleston, WV 25309 | 2020-11-03 |
| 1629690177 | Jennifer Mabry-goins | Technician | 4505 River Avenue, S Charleston, WV 25309 | 2020-05-07 |
| 1811537715 | Brandon C Dean | Psychologist | 4857 Macorkle Ave. Sw, South Charleston, WV 25309 | 2020-01-09 |
| 1467096057 | Linda Mullins | Technician | 60 Hayvon Lane, South Charleston, WV 25309 | 2019-11-06 |
| 1831743616 | Ann Myriah Beck | Nurse Practitioner | 4610 Maccorkle Ave Sw # 300, South Charleston, WV 25309 | 2019-07-30 |
| 1942671227 | Edward W Eskew | Family Medicine | 4605 Maccorkle Avenue, Sw, Thspp-psychiatry, South Charleston, WV 25309 | 2015-10-13 |
| 1720468218 | Link Investments LLC | Pharmacy | 5151 Macorkle Avenue, South Charleston, WV 25309 | 2015-06-01 |
| 1366840951 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 304 Southbridge Blvd., S.ccharleston, WV 25309 | 2014-12-12 |
| Find all providers in zip 25309 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831743616 | Ann Myriah Beck | Nurse Practitioner | 4610 Maccorkle Ave Sw # 300, South Charleston, WV 25309 | 2019-07-30 |
| 1417206988 | Chera Irene Brumfield | Nurse Practitioner | 2930 Macon St, South Charleston, WV 25303-1626 | 2012-08-30 |
| 1982687992 | Janet S. Bennett | Nurse Practitioner | 434 Division Street, South Charleston, WV 25309-1433 | 2005-11-23 |
| 1336751130 | Mary Beth Moore Miller | Nurse Practitioner | 332 6th Ave, South Charleston, WV 25303-1246 | 2020-08-21 |
| 1609494269 | Tabitha Michelle Spence | Nurse Practitioner | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2020-07-10 |
| 1962028738 | Heath Collin Barnette | Nurse Practitioner | 4619 Kanawha Ave Sw, South Charleston, WV 25309-1319 | 2020-06-17 |
| 1629690037 | Stephanie Shamma | Nurse Practitioner | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1398 | 2020-05-08 |
| 1457972747 | Freedom Medical Care, Pllc | Nurse Practitioner | 4008 Maccorkle Ave Sw, South Charleston, WV 25309-1510 | 2020-04-28 |
| 1891339586 | Tarrin Layne | Nurse Practitioner | 4610 Kanawha Ave Sw Ste 402, South Charleston, WV 25309-1367 | 2019-11-05 |
| 1114573417 | Kelsey Strickland | Nurse Practitioner | 4619 Kanawha Ave Sw, South Charleston, WV 25309-1319 | 2019-08-13 |
| Find all providers in SOUTH CHARLESTON | ||||
| City | SOUTH CHARLESTON |
| Zip Code | 25309 |
Please comment or provide details below to improve the information on MR. JEREMY WALKER.
| 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.