PHILLIP G. WALKER (NPI# 1881060754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881060754 |
| Entity Type | Individual |
| Full Name | PHILLIP G. WALKER |
| Credential | APRN |
| Practice Address |
1300 Andrea St Suite 205 Bowling Green KY 42104-3382 |
| Practice Telephone | 2702054585 |
| Practice Fax Number | 2709367333 |
| Mailing Telephone | (270) 205-4585 |
| Mailing Fax Number | 2709367333 |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2017-05-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
3009635 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100373090 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982757829 | Phillip A Walker | Optometrist | 16135 North May Ave, Suite A, Edmond, OK 73013-0000 | 2007-01-22 |
| 1912268293 | Phillip Walker | Home Health Aide | 1818 New York Ave Ne, 228, Washington, DC 20002-1848 | 2012-06-04 |
| 1487756581 | Phillip M Walker | Family Medicine | 1001 N Madison Ave, Greenwood, IN 46142-4135 | 2006-09-01 |
| 1881708337 | Phillip N Walker | Social Worker | 3251 3rd Ave N, St Petersburg, FL 33713 | 2006-08-19 |
| 1396791620 | Phillip J. Walker | Internal Medicine | 2711 Randolph Rd, Bldg 400, Charlotte, NC 28207-2027 | 2006-05-26 |
| 1154316164 | Phillip Adrian Walker II | Internal Medicine | 420 Wood St, Clarion, PA 16214-1336 | 2005-09-15 |
| Street Address |
1300 ANDREA ST SUITE 205 |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42104-3382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427146950 | Cindy S Lemon | Nurse Practitioner | 1300 Andrea St, Suite 205, Bowling Green, KY 42104-3382 | 2006-10-10 |
| 1104358597 | Kentucky Psychiatry, LLC | Nurse Practitioner | 1300 Andrea St, Suite 205, Bowling Green, KY 42104-3382 | 2017-04-03 |
| 1003364373 | Verdant Healthcare LLC | Clinic/Center | 1300 Andrea St, Suite 100, Bowling Green, KY 42104-3382 | 2016-09-15 |
| 1982093522 | Jeremy Michael Wagoner | Social Worker | 1300 Andrea St, Suite 205, Bowling Green, KY 42104-3382 | 2015-01-20 |
| 1346638723 | Hillary Blair Stansfield | Social Worker | 1300 Andrea St, Suite 205, Bowling Green, KY 42104-3382 | 2015-01-07 |
| 1679992978 | Allison Coghill | Nurse Practitioner | 1300 Andrea St, Suite 205, Bowling Green, KY 42104-3382 | 2014-04-15 |
| 1528327038 | Sandra T Mahoney | Social Worker | 1300 Andrea St, Suite 205, Bowling Green, KY 42104-3382 | 2012-05-04 |
| 1518235183 | Dbt Center of Western Kentucky, LLC | Social Worker | 1300 Andrea St, Suite 205, Bowling Green, KY 42104-3382 | 2011-12-09 |
| 1497049977 | Heather Hazelwood Dausman | Social Worker | 1300 Andrea St, Suite 205, Bowling Green, KY 42104-3382 | 2011-06-02 |
| 1770797623 | Community Options, Inc. | Case Management | 1300 Andrea St, Suite 201, Bowling Green, KY 42104-3382 | 2007-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822042 | Ashley Marie Sterchi | Speech-Language Pathologist | The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 | 2020-08-20 |
| 1093339111 | Rachel Marie Held | Specialist/Technologist | 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 | 2020-06-04 |
| 1043846769 | C D S 10 Pharmacy LLC | Pharmacy | 1308 Ashley Circle, Bowling Green, KY 42104 | 2020-03-13 |
| 1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
| 1487122099 | Candice Spencer | Specialist/Technologist, Other | 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 | 2018-11-13 |
| 1053819904 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1850 Westen Street, Bowling Green, KY 42104 | 2018-01-25 |
| 1841731494 | Olivia Catherine Sanders | Speech-Language Pathologist | 954 Aristides Dr, Bowling Green, KY 42104 | 2017-03-15 |
| 1376901488 | Trung Trinh | Pharmacist | 1530 Campbell Lane, Bowling Green, KY 42104 | 2016-02-03 |
| 1225409121 | Adam Wesley Baird | Optometrist | 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 | 2015-10-18 |
| 1851797898 | Michelle Leigh King | Speech-Language Pathologist | 829 Mandarin Ave., Bowling Green, KY 42104 | 2014-11-18 |
| Find all providers in zip 42104 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861099269 | Bowling Green Psychiatry | Nurse Practitioner | 1911 Scottsville Rd Ste B, Bowling Green, KY 42104-3303 | 2020-10-08 |
| 1851951818 | John Paul Palmer | Nurse Practitioner | 1608 Glendale Dr, Bowling Green, KY 42104-3133 | 2019-06-20 |
| 1710375050 | Cheryl R Gore | Nurse Practitioner | 855 Lovers Ln Ste 106, Bowling Green, KY 42103-7989 | 2015-01-08 |
| 1427146950 | Cindy S Lemon | Nurse Practitioner | 1300 Andrea St, Suite 205, Bowling Green, KY 42104-3382 | 2006-10-10 |
| 1720616212 | Onyx Regent Health & Wellness, LLC | Nurse Practitioner | 2459 Mount Victor Ln, Bowling Green, KY 42103-9061 | 2020-03-30 |
| 1912545468 | Rachel Elizabeth Roberts | Nurse Practitioner | 1300 Andrea St Ste 205, Bowling Green, KY 42104-3382 | 2019-12-16 |
| 1457995839 | Johnna Marr | Nurse Practitioner | 1035 Porter Pike, Bowling Green, KY 42103-9581 | 2019-10-29 |
| 1811549413 | Alicia Velma Karam | Nurse Practitioner | 2459 Mount Victor Ln, Bowling Green, KY 42103-9061 | 2019-07-12 |
| 1679032981 | Gore Behavioral Care, LLC | Nurse Practitioner | 855 Lovers Ln Ste 106, Bowling Green, KY 42103-7989 | 2019-03-16 |
| 1801395967 | Mary Kimberly Green | Nurse Practitioner | 1035 Porter Pike, Bowling Green, KY 42103-9581 | 2018-02-05 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42104 |
Please comment or provide details below to improve the information on PHILLIP G. WALKER.
| 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.