NPI Code Detail JSON Logo

1730730771 NPI number — TAMARA SUE WALKER PNP, PMHNP, PMHS

NPI Number: 1730730771
Health Care Provider/Practitioner: TAMARA SUE WALKER PNP, PMHNP, PMHS

Information about “1730730771” NPI (TAMARA SUE WALKER PNP, PMHNP, PMHS) exists in 1730730771 in HTML format HTML  |  1730730771 in plain Text format TXT  |  1730730771 in PDF (Portable Document Format) PDF  |  1730730771 in an XML format XML  formats.

NPI Number : 1730730771 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1730730771",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WALKER",
    "FirstName": "TAMARA",
    "MiddleName": "SUE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PNP, PMHNP, PMHS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WALKER",
    "OtherFirstName": "TAMARA",
    "OtherMiddleName": "S",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PNP, PMHNP, PMHS",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "1208 HILLTOP DR STE 103",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROCK SPRINGS",
    "MailingAddressStateName": "WY",
    "MailingAddressPostalCode": "82901-5858",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "307-212-6082",
    "MailingAddressFaxNumber": "307-224-2128",
    "FirstLinePracticeLocationAddress": "1208 HILLTOP DR STE 103",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROCK SPRINGS",
    "PracticeLocationAddressStateName": "WY",
    "PracticeLocationAddressPostalCode": "82901-5858",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "307-371-2427",
    "PracticeLocationAddressFaxNumber": "307-224-2128",
    "EnumerationDate": "09/20/2019",
    "LastUpdateDate": "12/19/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": "44082",
          "LicenseNumberStateCode": "WY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0200X",
          "TaxonomyName": "Pediatric Nurse Practitioner",
          "LicenseNumber": "44082",
          "LicenseNumberStateCode": "WY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.