Sallie J Walker
Nurse Practitioner (Family)

Address: 921 14th Ave Nw, Ardmore, OK 73401-1837
Phone: 5802235311

Sallie J Walker (NPI# 1306889878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1306889878
Entity Type Individual
Full Name Sallie J Walker
Credential MS, RN, ARNP
Gender Female
Practice Address 921 14th Ave Nw
Ardmore
OK 73401-1837
Practice Telephone 5802235311
Practice Fax Number 5802238227
Mailing Address 4401 W Memorial Rd
Suite 140
Oklahoma City
OK 73134-1785
Mailing Telephone 4057523162
Mailing Fax Number 4059365211
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-06-13
Last Update Date 2014-05-21

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LF0000X Nurse Practitioner · Family Physician Assistants & Advanced Practice Nursing Providers R0030962 OK

Physician Overview

NPI 1306889878
PAC ID by PECOS 5092718908
Professional Enrollment ID I20060911000672
Full Name Sallie J Walker
Organization Legal Name MERCY CLINIC OKLAHOMA COMMUNITIES
Phone Number 5802235311
Gender F
Credential NP
Graduation Year 2000
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 1153468921
Number of Group Practice Members 420
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
370047 MERCY HOSPITAL ARDMORE, INC
370013 MERCY HOSPITAL OKLAHOMA CITY, INC

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to comeā€¦

Providers in the same taxonomy and city

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1871067199 Jacqueline Frances Miller Nurse Practitioner 148 Sierra St, Ardmore, OK 73401-7275 2019-01-21
1497227078 Stephanie Zeiders Oliver Nurse Practitioner 731 12th Ave Nw Ste 305, Ardmore, OK 73401-5765 2018-12-20
1104284132 Brandi Zavala Nurse Practitioner 627 Stanley St Sw, Ardmore, OK 73401-4717 2016-02-04
1194120832 Lindsay Coffman Nurse Practitioner 610 West Lancaster Avenue, Ardmore, PA 19003 2014-10-23
1902218548 Tabathya Lane Nurse Practitioner 1001 12th Ave Nw, Suite 100, Ardmore, OK 73401 2014-06-02
1700208618 Amg-hillside LLC Nurse Practitioner 26032 Main St, Ardmore, TN 38449-3375 2014-01-11
1457571309 Patricia Yanda Rush Nurse Practitioner 802 16th Ave Nw, Ardmore, OK 73401-1818 2007-04-25
1962446369 Gary O Lawson Nurse Practitioner 26642 Main Street, Ardmore, AL 35739-7624 2006-06-15
1730720723 Jennifer Danielle Sims Nurse Practitioner 2611 Crossroads Dr, Ardmore, OK 73401-2574 2019-10-01
1568028371 Ashley Nicole Stites Nurse Practitioner 1402 Brookview Dr, Ardmore, OK 73401-1219 2019-05-16
Find all providers in ARDMORE

Office Location

Street Address 921 14TH AVE NW
City ARDMORE
State OK
Zip Code 73401-1837

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457331175 Medical Arts Clinic of Ardmore Inc Internal Medicine 921 14th Ave Nw, Ardmore, OK 73401-1837 2006-01-19
1912395898 Lisa Burton Nurse Practitioner 921 14th Ave Nw, Ardmore, OK 73401-1837 2014-12-31
1932448347 Jerad Scott Wagner Physician Assistant 921 14th Ave Nw, Ardmore, OK 73401-1837 2013-02-05
1376703595 Summer Kirby Family Medicine 921 14th Ave Nw, Ardmore, OK 73401-1837 2008-06-11
1487854642 Derek Todd Landis Pediatrics 921 14th Ave Nw, Ardmore, OK 73401-1837 2007-07-24
1205929320 Ashley V Kelley Internal Medicine 921 14th Ave Nw, Ardmore, OK 73401-1837 2006-10-02
1679595144 Bobby J Ellis Internal Medicine 921 14th Ave Nw, Ardmore, OK 73401-1837 2006-07-24
1235176629 Wilfred S Gauthier Surgery 921 14th Ave Nw, Ardmore, OK 73401-1837 2006-06-02
1194779975 Toribio C Velasquez Internal Medicine 921 14th Ave Nw, Ardmore, OK 73401-1837 2006-05-19
1114982527 Mercy Health Services - Southern Oklahoma, LLC Clinic/Center 921 14th Ave Nw, Ardmore, OK 73401-1837 2006-04-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487213302 Rachel Diane Wrany Nurse Practitioner Oklahoma Heart Hospital Physicians, LLC, 731 12th Avenue Nw, Suite 202, Ardmore, OK 73401 2019-06-13
1790349991 Shirley Denise Brown Licensed Psychiatric Technician 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 2019-04-24
1427512359 Billy Joe Oshields Case Manager/Care Coordinator 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 2019-01-24
1174007595 Tawnya Dawn Peery Nurse Practitioner 1108 W. Walnut Drive, Ardmore, OK 73401 2018-09-21
1679055016 Teresa Marie Hernandez Behavior Technician 1219 K St. Nw, Ardmore, OK 73401 2018-09-01
1063991974 Sawyer Rae Shamburger Occupational Therapy Assistant 208 North Praire St, Pilot Point, TX 73401 2018-08-10
1417473521 Chelsye Bacon Peer Specialist 905 Holiday Drive, Ardmore, OK 73401 2017-08-21
1003279746 Jeni Presley Marriage & Family Therapist Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 2016-03-31
1982080909 Alison Hill Pharmacist 1111 N. Commerce, Ardmore, OK 73401 2015-07-31
1316346547 Olivia Larae Carrell Counselor 15 Monroe Street Ne, Ardmore, OK 73401 2014-08-13
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Competitor

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City ARDMORE
Zip Code 73401

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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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