BRENDA MOODY WALKER


Address: 4407 Maccorkle Ave Se, Charleston, WV 25304-2541
Phone: 3049250392

BRENDA MOODY WALKER (NPI# 1013971761) 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) 1013971761
Entity Type Individual
Full Name BRENDA MOODY WALKER
Credential RN,MSN,CFNP
Practice Address 4407 Maccorkle Ave Se
Charleston
WV 25304-2541
Mailing Address 1118 Montrose Dr
South Charleston
WV 25303-2920
Practice Telephone 3049250392
Practice Fax Number 3048250392
Mailing Telephone 3043431863
Mailing Fax Number 3043441755
Enumeration Date 2006-04-12
Last Update Date 2020-09-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 18804 WV Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WV 0167011000 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
830 Pennsylvania Ave, Suite 200, Charleston, WV 253023302 3043431863 3043441755

Other Providers BRENDA WALKER

NPI Name Taxonomy Address Enumeration
1942810700 Brenda L Walker Nurse's Aide 1915 Cordova Ave, Cincinnati, OH 45239-4704 2020-08-06
1750830428 Brenda Ann Walker Social Worker 1302 Valparaiso Dr Apt J14, Florence, SC 29501-6199 2016-09-23
1215358296 Brenda Walker Counselor 236 N Mebane St Ste 101, Burlington, NC 27217-3966 2013-12-18
1255603882 Brenda Joy Walker I Physical Therapy Assistant 18850 Carmany Dr, Walton Hills, OH 44146-4412 2012-01-27
1225324007 Brenda Maud Walker Registered Nurse 11727 193rd St, Ph, Saint Albans, NY 11412-3305 2011-06-21
1346558129 Brenda Walker Contractor 270 1st Ave, 9f, New York, NY 10009-2619 2010-09-15
1306377395 Brenda Jo Walker Occupational Therapist 1202 E Jackson Ave, Riverton, WY 82501-3866 2017-03-22
1558763425 Brenda Walker Counselor 1233 S La Cienega Blvd, Los Angeles, CA 90035-2520 2014-09-22
1336576925 Brenda Kay Walker Physical Therapy Assistant 303 N Hurstbourne Pkwy, Suite 200, Louisville, KY 40222-5185 2013-09-27
1174873137 Brenda Walker Technician, Other 1850 S Deleon Ave, Titusville, FL 32780-7733 2012-09-17

Office Location

Street Address 4407 MACCORKLE AVE SE
City CHARLESTON
State WV
Zip Code 25304-2541

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407466535 Valley Health Systems, Inc Pediatrics 4407 Maccorkle Ave Se, Charleston, WV 25304-2541 2020-08-04
1285283390 Chelsea Salvatore Nurse Practitioner 4407 Maccorkle Ave Se, Charleston, WV 25304-2541 2019-09-11
1659701738 Heather N Hudson Physician Assistant 4407 Maccorkle Ave Se, Charleston, WV 25304-2541 2013-11-26
1437404852 Michelle Arceneaux Proops Nurse Practitioner 4407 Maccorkle Ave Se, 2nd Floor, Charleston, WV 25304-2505 2012-07-23
1821267154 Robert Scott Milam Physician Assistant 4407 Maccorkle Ave Se, Charleston, WV 25304-2505 2008-02-20
1144340787 Applachain Pain Therapy Institute Pain Medicine 4407 Maccorkle Ave Se, Charleston, WV 25304-2505 2007-03-29
1346310893 Hanger Prosthetics & Orthotics, Inc. Durable Medical Equipment & Medical Supplies 4407 Maccorkle Ave Se, Charleston, WV 25304-2541 2006-11-09
1417067539 Tracy Lynn Smith Psychologist 4407 Maccorkle Ave Se, Charleston, WV 25304-2541 2006-08-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740893908 Sade Yvonne Rice Technician 392 B South Parkd Rd, Charleston, WV 25304 2020-08-27
1053931410 Pir Ali Shah Student in an Organized Health Care Education/Training Program 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 2020-04-25
1649807603 Jasmine Shah Student in an Organized Health Care Education/Training Program 3110 Maccorkle Avenue, Se, Student Services Department - Wvu Building, 4th Floor, Charleston, WV 25304 2020-03-26
1447811872 Kwasi Amponsah Gambrah Student in an Organized Health Care Education/Training Program 3200 Mac Corkle Ave. Se, Robert C. Byrd Clinical Teaching Center, 5th Floor, Charlestoni, WV 25304 2019-06-26
1457916751 Divya Kalluru Student in an Organized Health Care Education/Training Program 3200 Maccorkle Avenue Southeast, Robert C. Bird Clinica, 4th Floor Internal Medicine Department, Charleston, WV 25304 2019-05-02
1841854965 Sean Michael Percy Losier Student in an Organized Health Care Education/Training Program 3200 Maccorkle Ave., Se, Camc Family Medicine Center Robert C. Byrd Clinical Tea, Charleston, WV 25304 2019-04-24
1700440047 Priyanka Chowdhry Student in an Organized Health Care Education/Training Program Robert C. Bird Clinical Training Center, 4th Floor, 3200 Maccorkle Avenue, Southeast, Charleston, WV 25304 2019-04-23
1568925469 Saranya Dinesan Student in an Organized Health Care Education/Training Program 3200 Maccorkle Ave. Se, 4th Floor, Robert C. Byrd Clini, Charleston, WV 25304 2019-04-09
1043771694 Mary Elizabeth Novak Student in an Organized Health Care Education/Training Program Camc Memorial Hospital, Surgicare Center, 3200 Maccorkle Ave Se, Charleston, WV 25304 2019-03-27
1124518600 Abdullah Sohail Student in an Organized Health Care Education/Training Program 4th Floor, 3200 Maccorkle Ave, South East Robert C. Bir, Charleston, WV 25304 2018-05-10
Find all providers in zip 25304

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043842230 Lisa Ann Hahl Nurse Practitioner 30 Courtenay Drive Room 217, Msc 592, Charleston, SC 29425-8911 2020-02-06
1497394290 Allison Smith Nurse Practitioner 1001 Centre Way, Charleston, WV 25309-9427 2019-12-27
1770129553 Elizabeth Ashley Halicki Nurse Practitioner 96 Jonathan Lucas St Ste 420, Charleston, SC 29425-8900 2019-11-26
1144784919 Danielle Alyssa Paquette Nurse Practitioner 30 Courtenay Dr Suite 282 Msc 295, Charleston, SC 29425-0001 2019-01-25
1649752791 Ashley Catherine Waybright Nurse Practitioner 3100 Maccorkle Ave Se Ste 904, Charleston, WV 25304-1234 2018-09-05
1679069090 Jessica Ueda Nurse Practitioner 310 35th St Se Ste 11, Charleston, WV 25304-1352 2018-07-09
1215440169 Christine Michelle Delcioppo Nurse Practitioner 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 2017-11-14
1962913038 Kasey Brown Nurse Practitioner 830 Pennsylvania Ave Ste 110, Charleston, WV 25302-3389 2017-10-17
1841700440 Laura Cunnings Nurse Practitioner 202 Georgetown Pl, Charleston, WV 25314-1866 2017-10-09
1386163392 Primary Care At Home of West Virginia, LLC Nurse Practitioner 414 Greenway Ave Ste 201, Charleston, WV 25309-1475 2017-09-12
Find all providers in CHARLESTON

Competitor

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City CHARLESTON
Zip Code 25304

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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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