DR. SHAYNA TANISE WALKER M.D NPI 1760688295

NPI Information

  • NPI: 1760688295
  • Provider Name: DR. SHAYNA TANISE WALKER, M.D
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 29101 HOSPITAL RD
    LAKE ARROWHEAD, CA
    ZIP 92352
  • Phone: (909) 336-3651

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NPI Details

DR. Shayna Tanise Walker, M.D is a family medicine in Lake Arrowhead, CA with 18 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Shayna Tanise Walker, M.D NPI is 1760688295. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduation Year:2007

The provider's business location address is:

29101 HOSPITAL RD
LAKE ARROWHEAD, CA
ZIP 92352-706
Phone: (909) 336-3651

The NPI 1760688295 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 6/22/2007 and was last updated on 8/12/2024.

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
1207Q00000XFamily MedicineA107393CALIFORNIAYes
2207Q00000XFamily Medicine2011-01965NORTH CAROLINANo
32084P0800XPsychiatry & NeurologyPsychiatry2011-01965NORTH CAROLINANo
42084P0800XPsychiatry & NeurologyPsychiatryA107393CALIFORNIANo

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
15920366MEDICAIDNORTH CAROLINA
2NC7241AOTHERNORTH CAROLINAMEDICARE
3172W0OTHERNORTH CAROLINABLUE CROSS BLUE SHILED OF NC
4252985OTHERNORTH CAROLINAMEDCOST, LLC
55920813MEDICAIDNORTH CAROLINA

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: 3/30/2025

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