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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
2000167859 | MO | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | 200671770A | 05 | |
OK | 200491030A | 05 | |
MO | 494803802 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Street Address |
2702 CUNNINGHAM AVE STE A |
City | JOPLIN |
State | MO |
Zip Code | 64804-1570 |
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 |
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 |
Find all providers in zip 64804 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
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 |
Find all providers in JOPLIN |
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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.