MRS. STORMY B WALKER (NPI# 1962994160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962994160 |
| Entity Type | Individual |
| Full Name | MRS. STORMY B WALKER |
| Credential | NP-C |
| Practice Address |
3240 Sunset Blvd West Columbia SC 29169-3428 |
| Mailing Address |
470 Hulon Ln West Columbia SC 29169-4841 |
| Practice Telephone | 8033598855 |
| Practice Fax Number | 8037946480 |
| Mailing Telephone | 8033598855 |
| Mailing Fax Number | 8037946480 |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2020-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
21916 | SC | Allopathic & Osteopathic Physicians |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
21916 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP5283 | 05 |
| Street Address |
3240 SUNSET BLVD |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169-3428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487621173 | Michael J. Lacey | Physical Therapist | 3240 Sunset Blvd, West Columbia, SC 29169-3428 | 2006-03-02 |
| 1003255605 | Sara Kathleen Sheehan | Pediatrics | 3240 Sunset Blvd, West Columbia, SC 29169-3428 | 2013-06-18 |
| 1013282763 | Progressive Physical Therapy | Occupational Therapist | 3240 Sunset Blvd, West Columbia, SC 29169-3428 | 2012-03-14 |
| 1578855805 | Lexington County Health Services District, Inc. | Pediatrics | 3240 Sunset Blvd, West Columbia, SC 29169 | 2011-05-04 |
| 1497054977 | Whitney Ann Rambo | Physical Therapist | 3240 Sunset Blvd, West Columbia, SC 29169-3428 | 2011-03-23 |
| 1457363178 | Timothy D Wingo | Family Medicine | 3240 Sunset Blvd, West Columbia, SC 29169-3428 | 2006-08-12 |
| 1619993409 | Jeremie J Sherman | Nurse Practitioner | 3240 Sunset Blvd, West Columbia, SC 29169-3428 | 2006-07-14 |
| 1427012756 | Hugh T Lorick | Family Medicine | 3240 Sunset Blvd, West Columbia, SC 29169-3428 | 2006-04-13 |
| 1700840030 | Douglas E Luberoff | Pediatrics | 3240 Sunset Blvd, West Columbia, SC 29169-3428 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
| 1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
| 1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
| 1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
| 1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
| 1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
| Find all providers in zip 29169 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861855645 | Kelly K Niermeier | Nurse Practitioner | 500 N 12th St, West Columbia, SC 29169-6502 | 2016-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912515511 | Naajah Hughes | Nurse Practitioner | 96 Jonathan Lucas Street Csb 428 Msc 608, Charleston, SC 29425-0001 | 2020-07-20 |
| 1558835355 | Conway Hospital Inc | Nurse Practitioner | 124 Professional Park Drive, Ste A, Conway, SC 29526-9260 | 2019-01-15 |
| 1104220433 | Diana L Taylor | Nurse Practitioner | 140 Professional Park Drive, Conway, SC 29526 | 2014-10-15 |
| 1134540008 | Jeanne Egli | Nurse Practitioner | 99 Bridgetown Rd, Goose Creek, SC 29445-5359 | 2013-12-19 |
| 1962839696 | Tracey Christine Wood | Nurse Practitioner | 140 Bandage Ct, Murrells Inlet, SC 29576-5103 | 2013-09-26 |
| 1982037495 | Amanda Mcallister | Nurse Practitioner | 1341 College Park Rd Ste A, Summerville, SC 29486 | 2013-08-20 |
| 1144568650 | Rebecca Pursley Brown | Nurse Practitioner | 128 Camelot Dr, Gaffney, SC 29341-1012 | 2013-01-18 |
| 1891097580 | Jocelyn Miller Snider | Nurse Practitioner | 1223 S Lake Dr, Lexington, SC 29073-6889 | 2010-12-01 |
| 1972805190 | Care House of The Pee Dee Inc | Nurse Practitioner | 1500 Patton Dr, Florence, SC 29501-6520 | 2010-11-19 |
| 1841436219 | Elsie May Hartigan | Nurse Practitioner | 834 W. Meeting St. Suite C, Lancaster, SC 29720 | 2009-01-06 |
| Find all providers with the same taxonomy | ||||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
Please comment or provide details below to improve the information on MRS. STORMY B 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.