WAL-MART STORES TEXAS, LLC (NPI# 1508272444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508272444 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES TEXAS, LLC |
| Other Organization Name | WALMART CARE CLINIC 10-0345 |
| Practice Address |
2223 S Loop 256 Palestine TX 75801-4701 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 9037299501 |
| Practice Fax Number | 9037299503 |
| Mailing Telephone | 4792048550 |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2015-02-19 |
| Authorized Official Name | LAURA LEVINE (DIRECTOR OF HEALTHCARE CONTRACTING) |
| Authorized Official Telephone | 4792048550 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAL-MART STORES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE PTAN | 358648ZHTM | 01 |
| Other Name | Type Code |
|---|---|
| Walmart Care Clinic 10-0345 | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194216143 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 26824 Fm 1093, Richmond, TX 77406 | 2018-05-25 |
| 1528555463 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 7831 Paseo Del Norte Blvd, Ste A, El Paso, TX 79912 | 2018-04-17 |
| 1619470770 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 5336 Golden Triangle Blvd, Fort Worth, TX 76244-4406 | 2018-03-15 |
| 1275067977 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 1951 Military Parkway, Mesquite, TX 75149 | 2017-04-19 |
| 1225578529 | Wal-mart Stores Texas, LLC | Technician/Technologist | 22850 Morton Rach Rd, Katy, TX 77449 | 2017-03-06 |
| 1912445487 | Wal-mart Stores Texas, LLC | Technician/Technologist | 1151 Us Hwy 90 E, Castroville, TX 78009 | 2017-02-06 |
| 1992256325 | Wal-mart Stores Texas, LLC | Technician/Technologist | 25800 Kuykendahl Road, Tomball, TX 77375 | 2016-10-20 |
| 1699123893 | Wal-mart Stores Texas, LLC | Technician/Technologist | 510 Kitty Hawk Rd, Universal City, TX 78148-3961 | 2016-05-27 |
| 1578923868 | Wal-mart Stores Texas, LLC | Technician/Technologist | 3440 S. Bryant Blvd, San Angelo, TX 76903 | 2016-02-29 |
| 1144680539 | Wal-mart Stores Texas, LLC | Technician/Technologist | 2901 Riley Fuzzell Road, Spring, TX 77386 | 2016-02-29 |
| Street Address |
2223 S LOOP 256 |
| City | PALESTINE |
| State | TX |
| Zip Code | 75801-4701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700803970 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 2223 S Loop 256, Palestine, TX 75801-4701 | 2006-07-16 |
| 1194326447 | Luan Q Le | Pharmacist | 2223 S Loop 256, Palestine, TX 75801-4701 | 2020-11-03 |
| 1063013696 | Steven Presley | Pharmacist | 2223 S Loop 256, Palestine, TX 75801-4701 | 2020-11-02 |
| 1275133233 | Joseph Paul Meyers | Pharmacist | 2223 S Loop 256, Palestine, TX 75801-4701 | 2020-10-29 |
| 1487061941 | Carla Shirley | Nurse Practitioner | 2223 S Loop 256, Palestine, TX 75801-4701 | 2014-07-16 |
| 1891876298 | Wal-mart Stores Texas, Lp | Technician/Technologist | 2223 S Loop 256, Palestine, TX 75801-4701 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669095113 | Savannah Lee Brumley | Speech-Language Pathologist | 550 Anderson County Road 160, Palestine, TX 75801 | 2020-05-19 |
| 1154964997 | Holly Studdard | Massage Therapist | 479 Acr 3971, Palestine, TX 75801 | 2019-10-24 |
| 1174096093 | Lisa Ann Tuley | Social Worker | 2001 Acr 156 #9, Palestine, TX 75801 | 2019-01-03 |
| 1194253955 | Scion Management Group Inc. | Durable Medical Equipment & Medical Supplies | 2256 S Sycamore St Ste 1, Palestine, TX 75801 | 2017-05-24 |
| 1225565013 | Blessed Beginnings Birth Center | Midwife | 3950 S. Hwy 19, Palestine, TX 75801 | 2017-05-11 |
| 1487060711 | Prakash Gadhiya | Dentist | 419 Old Elkhart Rd., Palestine, TX 75801 | 2014-07-08 |
| 1821428640 | Deonna Michelle Bynum | Nurse Practitioner | 126 Medical Drive, Suite B, Palestine, TX 75801 | 2013-11-14 |
| 1811249253 | Michael G. Key D.c. PC | Chiropractor | 2803 W. Oak Street, Palestine, TX 75801 | 2012-10-10 |
| 1740447747 | Andre Thomas | Orthopaedic Surgery | 4002 Loop 256, Suite G, Palestine, TX 75801 | 2008-05-19 |
| 1609055631 | Kathie S Carrier&medical Transport Dba | Non-emergency Medical Transport (VAN) | 1965 Anderson County Road 2101, Palestine, TX 75801 | 2007-10-26 |
| Find all providers in zip 75801 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434057 | Michelle Lee Green | Nurse Practitioner | 2264 An County Road 420, Palestine, TX 75803-6517 | 2020-10-14 |
| 1942825849 | Alana Leigh Varela | Nurse Practitioner | 569 An County Road 4035, Palestine, TX 75803-1542 | 2020-06-16 |
| 1821428640 | Deonna Michelle Bynum | Nurse Practitioner | 126 Medical Drive, Suite B, Palestine, TX 75801 | 2013-11-14 |
| 1558345827 | Patricia Jean Burbank | Nurse Practitioner | 209 E Grand Prairie St, Palestine, IL 62451-1254 | 2005-12-01 |
| 1952394512 | Sally S Mcmillan-dengerud | Nurse Practitioner | 2900 S Loop 256, Suite 100, Palestine, TX 75801-6958 | 2005-08-29 |
| 1114582566 | Tiffany Linn Mcclendon | Nurse Practitioner | 2900 S Loop 256, Palestine, TX 75801-6958 | 2019-05-01 |
| 1114369451 | Kimberly Winn | Nurse Practitioner | 2900 S Loop 256, Palestine, TX 75801-6958 | 2013-07-29 |
| 1568635092 | Irma Campos Boyle | Nurse Practitioner | 2900 S Loop 256, Palestine, TX 75801-6958 | 2008-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306245 | Julie Gunnarson | Nurse Practitioner | 435 Tioga St, Burleson, TX 76028-8197 | 2020-11-03 |
| 1033710488 | Angela Renee Aston | Nurse Practitioner | 805 Kelly Creek, Bulverde, TX 78163 | 2020-11-03 |
| 1629678347 | Prime Telecare LLC | Nurse Practitioner | 2251 Bagdad Rd Unit 102, Cedar Park, TX 78613-6521 | 2020-10-30 |
| 1063012508 | Kelsey Jean Reisch | Nurse Practitioner | 5001 Orleans Cir, Rowlett, TX 75088-6175 | 2020-10-26 |
| 1124628557 | Jessica Buchanan | Nurse Practitioner | 212 Sheridan Loop, Belton, TX 76513-8024 | 2020-10-26 |
| 1811596323 | Rachel Christine Jarrell | Nurse Practitioner | 10080 Research Forest Dr, The Woodlands, TX 77354-6780 | 2020-10-26 |
| 1356940837 | Katherine Anna Nack | Nurse Practitioner | 6100 Harris Pkwy Ste 285, Fort Worth, TX 76132-4127 | 2020-10-26 |
| 1558960104 | Suzette Roberts | Nurse Practitioner | 2505 Pebble Lodge Ln, Friendswood, TX 77546-5587 | 2020-10-23 |
| 1982203675 | Ilse Deyanire Trevino | Nurse Practitioner | 6233 Tepepan Dr, Brownsville, TX 78521-7135 | 2020-10-22 |
| 1629677612 | Laurel Sunde | Nurse Practitioner | 11111 Research Blvd-ll2, Austin, TX 78759 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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| 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.