Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Dakota Walker, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1396471132

Mr. Dakota Walker, FNP-BC is a Nurse Practitioner in Johnson City, Tennessee. Qualified in 2022, 4 years ago. Practices with Blue Ridge Medical Management Corporation, a 286-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
4
Licensed in
TN
In the registry since
2022
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

400 N State Of Franklin Rd
Johnson City, TN 37604-6035
Phone: (423) 525-2375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 31941 (TN)

Record details

NPI number1396471132
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJuly 25, 2022
Last updated in NPPESOctober 28, 2022
Certification dateOctober 28, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Blue Ridge Medical Management Corporation — 286 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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