JERRY W WALKER


Address: 2702 Cunningham Ave, Ste A, Joplin, MO 64804-1570
Phone: 4177821910

JERRY W WALKER (NPI# 1699766089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699766089
Entity Type Individual
Full Name JERRY W WALKER
Credential LPC
Practice Address 2702 Cunningham Ave
Ste A
Joplin
MO 64804-1570
Practice Telephone 4177821910
Practice Fax Number 4177821844
Mailing Telephone 4177821910
Mailing Fax Number 4177821844
Enumeration Date 2005-11-03
Last Update Date 2014-04-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
2000167859 MO Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
KS 200671770A 05
OK 200491030A 05
MO 494803802 05

Other Providers JERRY WALKER

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1598319113 Jerry Elton Walker Jr. Specialist/Technologist 1008 Absecon Blvd, Atlantic City, NJ 08401-2536 2019-07-31
1053641126 Jerry W Walker Dentist 6060 N Bay Ridge Ave, Milwaukee, WI 53217-4663 2010-01-12
1700984440 Jerry L Walker Dentist 4303 Bridgeport Way W, University Place, WA 98466-4334 2006-09-20
1861461485 Jerry Don Walker Chiropractor 105 Boland St, Fort Worth, TX 76107-1221 2006-03-16
1154310373 Jerry H Walker Dentist 390 South 3rd West, Soda Springs, ID 83276 2005-10-20
1467066316 Jerry Keith Walker Dentist 1314 N Yarbrough Dr, El Paso, TX 79925-7802 2020-09-08
1770851933 Jerry Vanzant Walker IIi Psychologist 987400 Nebraska Medical Center, Omaha, NE 68198-7400 2011-12-02
1306093067 Jerry Dean Walker Dentist 201 Dental Science S, College of Dentistry, Iowa City, IA 52242-1001 2008-08-25
1649238866 Jerry D Walker Jr. Internal Medicine 30 N 1900 E, Room 4a100 Som, Salt Lake City, UT 84132 2006-05-04

Office Location

Street Address 2702 CUNNINGHAM AVE
STE A
City JOPLIN
State MO
Zip Code 64804-1570

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689668345 Stacy Ann Bray Psychologist 2702 Cunningham Ave, Ste A, Joplin, MO 64804-1570 2005-09-08
1194960377 Vickie Marie Cupp Social Worker 2702 Cunningham Ave, Ste A, Joplin, MO 64804-1570 2008-12-02
1144379926 Jeanie Joanne Hight Counselor 2702 Cunningham Ave, Ste A, Joplin, MO 64804-1570 2007-01-09
1912085291 Lindsey Katherine Brooks Psychologist 2702 Cunningham Ave, Ste A, Joplin, MO 64804-1570 2006-11-02
1669481495 Behavior Management PC Inc Psychologist 2702 Cunningham Ave, Ste A, Joplin, MO 64804-1570 2006-08-08
1043201221 Douglas A Brooks Psychologist 2702 Cunningham Ave, Ste A, Joplin, MO 64804-1570 2005-11-04
1427049980 Scott M Gordon Psychologist 2702 Cunningham Ave, Ste A, Joplin, MO 64804-1570 2005-11-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033718903 Lisa Jo Moore Nurse Practitioner 2623 S Main Street, Nixa, MO 64804 2020-10-22
1346859600 Centered and Connected LLC Counselor 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 2020-07-23
1649838780 Nicole Lynn Egan Social Worker 3010 Mcclelland, Joplin, MO 64804 2019-06-04
1902361652 Redings Mill Internal Care Clinic/Center 454 Redings Mill Rd, Joplin, MO 64804 2019-02-06
1447732508 Urgent Care Travel, Inc Clinic/Center 5931 E 32nd Street, Joplin, MO 64804 2018-09-05
1912488891 Karl G. Keczkemethy Dietitian, Registered 100 Mercy Way Ste 570, Joplin, MO 64804 2018-08-28
1790207546 Jacksie Short Dentist 2819 E 29th St, Joplin, MO 64804 2017-07-13
1326574625 Kristine Kwon Rowland Nurse Practitioner 100 Mercy Way Ste 320-330, Joplin, MO 64804 2017-05-05
1942735212 West R Loveland Counselor 3230 S Wisconsin St Suite H, Joplin, MO 64804 2017-04-25
1174070205 Tracy L Fry Nurse Practitioner 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 2016-09-07
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053924985 Robert Milton Davis Jr. Counselor 2428 S Wall Ave, Joplin, MO 64804-2661 2020-08-29
1932692647 Kristine Shirley Gustafson Counselor 123 S Moffet Ave, Joplin, MO 64801-2618 2018-06-08
1265946131 Virginia Hayes Counselor 705 W 26th St, Joplin, MO 64804-1904 2017-11-29
1942735212 West R Loveland Counselor 3230 S Wisconsin St Suite H, Joplin, MO 64804 2017-04-25
1003279555 Darla Wyatt Counselor 3405 S. Hammons Blvd., Joplin, MO 64804 2016-04-01
1104162775 Andrea Dana Lee Phillips Counselor 707 Pearl Street, Suite B, Joplin, MO 64801-1241 2012-12-29
1588908065 Amy Maria Manrique Counselor 301 E. Virginia Street, Joplin, MO 64801 2012-11-21
1518219187 Cynthia L Martin Counselor 4710 E 32nd St, Joplin, MO 64804-4411 2012-10-08
1528338415 Phyllis Irene Cook Counselor 707 S Pearl Ave, Joplin, MO 64801-4334 2012-01-09
1578874160 Melinda Annette Gibson Counselor 1840 N Range Line Rd Ste 6, Joplin, MO 64801-8322 2010-06-29
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Competitor

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City JOPLIN
Zip Code 64804

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Dataset Information

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.

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