MICHAEL WALKER (NPI# 1134151715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134151715 |
| Entity Type | Individual |
| Full Name | MICHAEL WALKER |
| Credential | N.P. |
| Practice Address |
4004 Foothill Blvd Roseville CA 95747 |
| Mailing Address |
10470 Old Placerville Rd Suite 100 Sacramento CA 95827-2539 |
| Practice Telephone | 9164535140 |
| Mailing Telephone | 8557710335 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2015-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
448095 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | EVERCARE | 83-00719 | 01 |
| MA | RAIL ROAD MEDICARE | 500003912 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588272611 | Michael David Walker | Registered Nurse | 140 Jennings Ave Apt 106, Knoxville, TN 37917-7158 | 2020-07-15 |
| 1699330332 | Michael Walker | Private Vehicle | 5020 Ne 7th St, Ocala, FL 34470-1144 | 2019-05-08 |
| 1013497023 | Michael Earl Walker | Private Vehicle | 513 E 3rd St, Leland, MS 38756-2803 | 2018-08-19 |
| 1053806026 | Michael Anthony Walker II | Specialist/Technologist | 10899 Sw 4th St # 523b, Miami, FL 33174-4402 | 2018-06-22 |
| 1194250225 | Michael Walker | Physical Therapy Assistant | 4801 Ne 13th St, Ocala, FL 34470-2103 | 2017-04-26 |
| 1083003735 | Michael Walker | Dietitian, Registered | 314 Pleasant Pl, Teaneck, NJ 07666-3230 | 2015-01-19 |
| 1013318658 | Michael Walker | Specialist/Technologist | 913 Penny Ln, Sycamore, IL 60178-1250 | 2014-09-15 |
| 1982034625 | Michael Walker | Counselor | 828 Stormy Ln, Jonesboro, GA 30238-5984 | 2013-11-16 |
| 1902123409 | Michael Walker | Dentist | 5807 92nd St, Lubbock, TX 79424-3630 | 2010-04-23 |
| 1154553212 | Michael Douglas Walker | Physician Assistant | 19771 Coal Heritage Rd, Welch, WV 24801-9825 | 2009-08-21 |
| Street Address |
4004 FOOTHILL BLVD |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043365851 | Nancy Lee Holtz | Nurse Practitioner | 4004 Foothill Blvd, Roseville, CA 95747-0000 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215407051 | Clifford Leo Faubert | Nurse Practitioner | 1937 Ellesmere Loop, Roseville, CA 95747 | 2018-12-04 |
| 1821577172 | Adam Botwinik | Psychologist | 8849 Cook Riolo Road, Roseville, CA 95747 | 2018-08-08 |
| 1093231201 | Heather Mairi Ybarra | Behavior Technician | 4216 Wyman Way, Roseville, CA 95747 | 2017-08-18 |
| 1881114650 | Bridget Bell | Behavior Technician | 8202 Tail Race Dr, Roseville, CA 95747 | 2017-06-22 |
| 1760911192 | Laura Marie Hummel | Massage Therapist | 9077 Foothills Blvd. Suite 200, Roseville, CA 95747 | 2017-06-08 |
| 1184975625 | Whitney Anne Wright | Marriage & Family Therapist | 7517 Locomotive Ln, Roseville, CA 95747 | 2012-09-24 |
| 1962764290 | Panumas Soukaroon | Physical Medicine & Rehabilitation | Glenwood Springs Way, Roseville, CA 95747 | 2012-06-12 |
| 1134487366 | Tatyana Serikov | Dental Hygienist | 616 Treviso Ct, Roseville, CA 95747 | 2012-04-25 |
| 1720352099 | Peggy Holcomb | Clinical Neuropsychologist | 4010 Foothills Bvld., Ste. 103-3, Roseville, CA 95747 | 2012-03-02 |
| 1740577220 | Laina Marie Haider | Occupational Therapist | 7950 Footthills Blvd, The Bridges At Woodcreek Oaks, Roseville, CA 95747 | 2011-07-05 |
| Find all providers in zip 95747 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659996478 | Mary Ann Thomas | Nurse Practitioner | 1856 Hillmont Way, Roseville, CA 95661-5818 | 2020-06-08 |
| 1205465564 | Sonja Brockman | Nurse Practitioner | 2685 Long Lake Rd Ste 105, Roseville, MN 55113-1117 | 2020-04-07 |
| 1972162931 | Georgette Marie Aneed | Nurse Practitioner | 18303 E 10 Mile Rd Ste 100, Roseville, MI 48066-4989 | 2019-06-12 |
| 1710460282 | Gerlinda Marie Gordon | Nurse Practitioner | 28811 Felician St, Roseville, MI 48066-7442 | 2018-09-11 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1205342391 | Stephanie Ridgley | Nurse Practitioner | 108 Mcmindes Ct, Roseville, CA 95747-5853 | 2017-12-27 |
| 1285148528 | Hyacinth Joy Lumapas Cassion | Nurse Practitioner | 701 Pleasant Grove Blvd Ste 125, Roseville, CA 95678-6194 | 2017-11-23 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1265960272 | Giovannina Dillon | Nurse Practitioner | 151 N Sunrise Ave Ste 1201, Roseville, CA 95661-2961 | 2017-06-02 |
| 1467802934 | Bethany Berryhill | Nurse Practitioner | 1410 Lorimer Way, Roseville, CA 95747-6036 | 2016-06-15 |
| Find all providers in ROSEVILLE | ||||
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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.