MRS. TABITHA DIANE WALKER FNP-BC NPI 1053763060

NPI Information

  • NPI: 1053763060
  • Provider Name: MRS. TABITHA DIANE WALKER, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1206 HIGHWAY 411
    VONORE, TN
    ZIP 37885
  • Phone: (423) 884-7271

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NPI Details

MRS. Tabitha Diane Walker, FNP-BC is a family nurse practitioner in Vonore, TN with 10 years of experience. MRS. Tabitha Diane Walker, FNP-BC NPI is 1053763060. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1206 HIGHWAY 411
VONORE, TN
ZIP 37885-455
Phone: (423) 884-7271
Fax: (423) 884-3277

The NPI 1053763060 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/1/2016 and was last updated on 9/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily21240TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
121240OTHERTENNESSEESTATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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