WAL-MART STORES, TEXAS, LLC (NPI# 1902274434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902274434 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES, TEXAS, LLC |
| Other Organization Name | WALMART CARE CLINIC 10-5987 |
| Practice Address |
494 W Interstate 30 Royse City TX 75189 |
| Mailing Address |
702 Sw 8th St Ms 0445 Bentonville AR 72716-0445 |
| Practice Telephone | 9726352186 |
| Mailing Telephone | 4792048550 |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |
| Authorized Official Name | LAURA LEVINE (DIR HEALTHCARE CONTRACT & ENROLLMEN) |
| 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 |
| Other Name | Type Code |
|---|---|
| Walmart Care Clinic 10-5987 | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750464368 | Wal-mart Stores, Texas, LLC | Technician/Technologist | 9500 Clifford St, Fort Worth, TX 76108-4403 | 2006-10-24 |
| Street Address |
494 W INTERSTATE 30 |
| City | ROYSE CITY |
| State | TX |
| Zip Code | 75189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568478568 | Rebecca Ann Redmond | Nurse Practitioner | 494 W Interstate 30, Royse City, TX 75189-7527 | 2006-07-31 |
| 1720457237 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 494 W Interstate 30, Royse City, TX 75189-7527 | 2015-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497052 | Kizzie Ann Coleman | Technician | 7000 W. I-30 Apt. 836, Royse City, TX 75189 | 2020-11-04 |
| 1982187381 | Corina Mcclary Wild | Chiropractor | 309 Derick Dr, Royse City, TX 75189 | 2018-09-11 |
| 1154824332 | North Texas Family Counseling and Court Services | Social Worker | 8042 Berry Court, Royse City, TX 75189 | 2018-03-14 |
| 1427558253 | Tenaya Negron | Licensed Vocational Nurse | 1105 Northwood Lane, Royse City, TX 75189 | 2018-02-19 |
| 1982113601 | Royse City Er LLC | Clinic/Center | 890 S Erby Campbell Blvd, Royse City, TX 75189 | 2017-09-26 |
| 1093267775 | Royse City Family Dentistry Pllc | Dentist | 554 W Interstate 30, Royse City, TX 75189 | 2016-10-28 |
| 1740631613 | Dentist Tree PC | Dentist | 921 South Erby Campbell Blvd, Ste 500, Royse City, TX 75189 | 2016-06-22 |
| 1922483155 | Wal-mart Stores Texas, LLC | Technician/Technologist | 494 W. Interstate 30, Royse City, TX 75189 | 2015-07-29 |
| 1558745430 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 476 W I-30, Royse City, TX 75189 | 2015-07-10 |
| 1073940011 | Purely Dental Group Pllc S-corp | Dentist | 7406 State Highway 66, Royse City, TX 75189 | 2013-10-05 |
| Find all providers in zip 75189 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | ROYSE CITY |
| Zip Code | 75189 |
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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.