DR. DIANE M WALKER (NPI# 1558305292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558305292 |
| Entity Type | Individual |
| Full Name | DR. DIANE M WALKER |
| Credential | MD |
| Practice Address |
1940 Harrison Ave Panama City FL 32405-4542 |
| Practice Telephone | (850) 763-0017 |
| Practice Fax Number | 8505326454 |
| Mailing Telephone | (850) 763-0017 |
| Mailing Fax Number | 8505326454 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
ME133042 | FL | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ME133042 | FL | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
12756 | MS | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
ME133042 | FL | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
12756 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | MEDICARE RAILROAD | 260042735 | 01 |
| AL | 009967605 | 05 | |
| MS | 00121680 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Lincoln Parkway, Suite 202, Hattiesburg, MS 39402 | 6012888050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124647730 | Diane Willette Walker | Occupational Therapist | 179 Baldwin Rd, Billerica, MA 01821-3013 | 2020-04-14 |
| 1144784844 | Diane Walker | Registered Nurse | 520 Winspear Ave, Buffalo, NY 14215-1251 | 2019-01-27 |
| 1740658640 | Diane Walker | In Home Supportive Care | 800 22nd Ave, Tuscaloosa, AL 35401-2142 | 2015-09-09 |
| 1427467422 | Diane Walker | Nurse Practitioner | 2644 White Pine Dr, Henderson, NV 89074 | 2014-08-05 |
| 1336571769 | Diane P Walker | Occupational Therapist | 415 S Blacks Corners Rd, Imlay City, MI 48444-9761 | 2013-08-08 |
| 1427198233 | Diane M Walker | Psychologist | 6655 S Us Highway 1, Grant, FL 32949-2221 | 2007-02-08 |
| 1114038767 | Diane Walker | Optometrist | 54 Hill St, Spruce Pine, NC 28777-8923 | 2006-08-31 |
| 1467454553 | Diane Whitney Walker | Nurse Practitioner | 905 Cedar Creek Grade, Suite 101, Winchester, VA 22601-7100 | 2005-06-02 |
| 1710282678 | Diane K Walker | Dietetic Technician, Registered | 3144 Vanzile Road, Crandon, WI 54520-0275 | 2011-01-24 |
| 1144468315 | Diane Marie Walker | Dietitian, Registered | 30 Locust Street, Cooley Dickinson Hospital, Northampton, MA 01060-5001 | 2009-01-27 |
| Street Address |
1940 HARRISON AVE |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32405-4542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051937 | Paul Kenneth Phillips | Psychiatry & Neurology | 1940 Harrison Ave, Panama City, FL 32405-4542 | 2005-05-30 |
| 1932742491 | Emerald Coast Behavioral Hospital LLC | Psychiatric Hospital | 1940 Harrison Ave, Panama City, FL 32405-4542 | 2019-10-28 |
| 1952965352 | Jennifer Humphrey | Counselor | 1940 Harrison Ave, Panama City, FL 32405-4542 | 2019-05-01 |
| 1902460512 | Kathleen Laura Logue | Nurse Practitioner | 1940 Harrison Ave, Panama City, FL 32405-4542 | 2019-04-29 |
| 1851857015 | Kimberly Murphy | Nurse Practitioner | 1940 Harrison Ave, Panama City, FL 32405 | 2019-02-13 |
| 1548774847 | Diane Kuepper | Social Worker | 1940 Harrison Ave, Panama City, FL 32405-4542 | 2017-11-22 |
| 1619481298 | Tommy R Mcdonald Jr. | Counselor | 1940 Harrison Ave, Panama City, FL 32405-4542 | 2017-11-19 |
| 1306385570 | Robert Eugene Mayor II | Counselor | 1940 Harrison Ave, Panama City, FL 32405-4542 | 2017-02-21 |
| 1245775980 | Pola Sanchez-baker | Counselor | 1940 Harrison Ave, Panama City, FL 32405-4542 | 2017-01-05 |
| 1568907301 | Lou Ellen Johnson | Counselor | 1940 Harrison Ave, Panama City, FL 32405-4542 | 2017-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962136 | Kimberlea Fox | Behavioral Analyst | 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 | 2020-08-14 |
| 1598325714 | Covenant Home Health Care, LLC | Home Health | 107 W. 19th Street, Panama City, FL 32405 | 2019-06-19 |
| 1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
| 1063991917 | Patricia Kagendo Mutunga | Day Training, Developmentally Disabled Services | 2813 Fairmont Dr, Panama City, FL 32405 | 2018-08-11 |
| 1871087882 | Southeastern Dermatology Group Pa | Pharmacy | 2505 Harrison Ave Ste A, Panama City, FL 32405 | 2018-06-22 |
| 1346733615 | Jessica Nicole Graham | Nurse Practitioner | 2507 Harrison Ave Unit 101, Panama City, FL 32405 | 2018-06-12 |
| 1437658424 | Coastal Mobility Transportation, LLC | Non-emergency Medical Transport (VAN) | 203 Forest Park Circle, Panama City, FL 32405 | 2018-02-06 |
| 1003314915 | The Anti-aging Clinic of Northwest Florida | Obstetrics & Gynecology | 3019 Osprey Cir, Panama City, FL 32405 | 2018-01-25 |
| 1255848487 | Sarah Theriot | Social Worker | 700 W 23rd St Bldg H, Panama City, FL 32405 | 2018-01-09 |
| 1336686054 | Angela Leake | Registered Nurse | 449 W 23 St, Panama City, FL 32405 | 2017-01-20 |
| Find all providers in zip 32405 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417957242 | Rajnikant B Patel | Psychiatry & Neurology | 11 W 23rd St, Panama City, FL 32405-7603 | 2005-07-22 |
| 1316387731 | Hina Smith | Psychiatry & Neurology | 1940 Harrison Ave, Panama City, FL 32405-4542 | 2013-06-29 |
| 1124383203 | Rajni Patel Md Pa | Psychiatry & Neurology | 11 W 23rd St, Suite B1, Panama City, FL 32405-7603 | 2012-07-05 |
| 1700831096 | Bernard A Bergman | Psychiatry & Neurology | 525 E 15th St, Panama City, FL 32405-5412 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670959 | Md Support, LLC | Psychiatry & Neurology | 1110 Pinellas Bayway S Ste 102, Saint Petersburg, FL 33715-1506 | 2020-05-06 |
| 1700412947 | Clearminder Inc | Psychiatry & Neurology | 6801 Lake Worth Rd Ste 213-214, Greenacres, FL 33467-2955 | 2020-03-19 |
| 1407495575 | Doctor Sam, LLC | Psychiatry & Neurology | 2600 N Military Trl Ste 355, Boca Raton, FL 33431-6312 | 2020-01-06 |
| 1053876524 | A & P Psychiatric Services, Pllc | Psychiatry & Neurology | 233 Porgee Rock Pl, Jupiter, FL 33458-1635 | 2019-02-08 |
| 1568937894 | D'morffi Family Services, L.l.c | Psychiatry & Neurology | 13475 Southern Blvd Ste 100, Loxahatchee, FL 33470-9233 | 2018-10-13 |
| 1548775273 | Embrace To Empower Wellness Center | Psychiatry & Neurology | 4720 Cleveland Heights Blvd Ste 305, Lakeland, FL 33813-2246 | 2017-12-04 |
| 1952829137 | Child and Adolescent Tampa Bay Psychiatry, LLC | Psychiatry & Neurology | 100 S Ashley Dr Ste 600, Tampa, FL 33602-5300 | 2017-09-07 |
| 1386183580 | Dr2go, Inc | Psychiatry & Neurology | 8860 Sw 123rd Ct, Miami, FL 33186-4152 | 2017-02-21 |
| 1851746069 | Hannah Elizabeth Morrissey | Psychiatry & Neurology | University of Florida Psychiatry Residency, 4037 Nw 86th Terrace, Gainesville, FL 32610-0001 | 2016-04-26 |
| 1891150488 | Tampa Bay Psychiatric Services Pl | Psychiatry & Neurology | 5664 Marquesas Cir, Sarasota, FL 34233-3331 | 2015-12-23 |
| Find all providers with the same taxonomy | ||||
| City | PANAMA CITY |
| Zip Code | 32405 |
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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.