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SUSAN M WALKER NP C NPI 1942351192


NPI Information

NPI: 1942351192
Provider Name: SUSAN M WALKER, NP C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
830 WASHINGTON ST 3RD FLOOR
SAMARITAN MEDICAL CENTER PMC
WATERTOWN, NY
ZIP 13601
Phone: (315) 785-4313
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Susan M Walker, NP C is a family nurse practitioner in Watertown, NY. Susan M Walker, NP C NPI is 1942351192. 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:

830 WASHINGTON ST 3RD FLOOR
SAMARITAN MEDICAL CENTER PMC
WATERTOWN, NY
ZIP 13601-211
Phone: (315) 785-4313
Fax: (315) 779-5114

The NPI 1942351192 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 1/15/2007 and was last updated on 5/20/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyF3330871NEW YORKYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1RB7865MEDICARE PINNEW YORK
2P22622MEDICARE UPIN
3DD4167MEDICARE ID-TYPE UNSPECIFIEDNEW YORKINDIVIDUAL
402377397MEDICAIDNEW YORK

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.