WAL-MART STORES TEXAS, LLC (NPI# 1275945891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275945891 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES TEXAS, LLC |
| Other Organization Name | WALMART CARE CLINIC 10-1216 |
| Practice Address |
1213 E Trinity Mills Rd Carrollton TX 75006-1446 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 4695577390 |
| Practice Fax Number | 9722424124 |
| Mailing Telephone | 4792048550 |
| Enumeration Date | 2014-06-02 |
| 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 | 358652ZHTN | 01 |
| Other Name | Type Code |
|---|---|
| Walmart Care Clinic 10-1216 | 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 |
1213 E TRINITY MILLS RD |
| City | CARROLLTON |
| State | TX |
| Zip Code | 75006-1446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851377352 | Joyes Abraham Varughese | Optometrist | 1213 E Trinity Mills Rd, Carrollton, TX 75006-1446 | 2005-12-16 |
| 1144820945 | Joanne B Bauer | Pharmacist | 1213 E Trinity Mills Rd, Carrollton, TX 75006-1446 | 2020-10-29 |
| 1518567817 | Barry R Embree | Pharmacist | 1213 E Trinity Mills Rd, Carrollton, TX 75006-1446 | 2020-10-27 |
| 1255931622 | Jennifer Ali | Pharmacist | 1213 E Trinity Mills Rd, Carrollton, TX 75006-1446 | 2020-10-27 |
| 1053894790 | Beacon Health Options Care Services, Inc | Psychiatry & Neurology | 1213 E Trinity Mills Rd, Carrollton, TX 75006-1446 | 2018-09-10 |
| 1245656164 | Jocelyn Hayes | Nurse Practitioner | 1213 E Trinity Mills Rd, Carrollton, TX 75006-1446 | 2014-03-17 |
| 1245521293 | Lauren Bradley Young | Nurse Practitioner | 1213 E Trinity Mills Rd, Carrollton, TX 75006-1446 | 2011-04-26 |
| 1104003730 | Hashemi & Associates Od Pa | Optometrist | 1213 E Trinity Mills Rd, Suite#100, Carrollton, TX 75006-1446 | 2008-01-25 |
| 1104014984 | Hashemi & Associates Od Pa | Optometrist | 1213 E Trinity Mills Rd, Carrollton, TX 75006-1446 | 2007-10-05 |
| 1932314606 | John C. Rivera | Optometrist | 1213 E Trinity Mills Rd, Carrollton, TX 75006-1446 | 2007-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316505043 | Ethicus Hospital Dfw LLC | General Acute Care Hospital | 1401 E. Trinity Mills Road, Carroliton, TX 75006 | 2019-05-29 |
| 1215422712 | Jennifer Rebecca Joseph | Nurse Anesthetist, Certified Registered | 1446 E Trinity Mills Rd, Carrollton, TX 75006 | 2018-06-27 |
| 1619479185 | Dedrie Marie Beck | Physical Therapy Assistant | 1000 W. Crosby Road, Carrollton, TX 75006 | 2018-03-01 |
| 1851892475 | Springcare Enterprises | Clinic/Center | 2840 Keller Springs Road, Suite 601, Carrollton, TX 75006 | 2018-02-28 |
| 1659892685 | Brandon Maughan | Social Worker | 1100 West Jackson Road, Carrollton, TX 75006 | 2017-06-29 |
| 1568997500 | Ad Precision Health Clinic, Pllc | Specialist | 2810 E. Trinity Mills Road, Suite 130, Carrollton, TX 75006 | 2017-04-27 |
| 1366992976 | Total Body Chiropractic | Chiropractor | 2201 Midway Rd Ste 107, Carrollton, TX 75006 | 2016-10-06 |
| 1679021042 | Keturah Health, LLC | Internal Medicine | 1420 Valwood Parkway, 170a, Carrollton, TX 75006 | 2016-09-14 |
| 1104202019 | Dazzling Smiles Dental | Dentist | 2145 North Josey Lane., Carrollton, TX 75006 | 2015-08-03 |
| 1336533595 | First Texas Hospital Carrollton LLC | General Acute Care Hospital | 1401 E. Trinity Mills Rd, Carrollton, TX 75006 | 2015-03-26 |
| Find all providers in zip 75006 | ||||
| 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 |
|---|---|---|---|---|
| 1841771656 | Sigimol Joseph | Nurse Practitioner | 4541 N Josey Ln Ste 110, Carrollton, TX 75010-4622 | 2018-08-29 |
| 1255678967 | Mariam A Panjwani | Nurse Practitioner | 2304 Janna Way, Carrollton, TX 75006-1509 | 2013-01-15 |
| 1245581602 | Janice May Wilder | Nurse Practitioner | 2183 E Highway 5, Carrollton, GA 30116-7716 | 2012-09-26 |
| 1447393541 | David N Rodriguez | Nurse Practitioner | 2904 Redwood Dr, Carrollton, TX 75007-4839 | 2007-02-15 |
| 1124044029 | Marygrace C Leveille | Nurse Practitioner | 4360 N Josey Ln, Carrollton, TX 75010-4602 | 2006-07-14 |
| 1013568740 | Matthew Henderson | Nurse Practitioner | 150 Clinic Ave Ste 101, Carrollton, GA 30117-4402 | 2019-09-24 |
| 1649737628 | Danyel Kush | Nurse Practitioner | 4100 State Highway 121, Carrollton, TX 75010-1118 | 2019-02-26 |
| 1891265930 | Brinda Matamana | Nurse Practitioner | 4125 Fairway Dr Ste 190, Carrollton, TX 75010-6506 | 2018-12-02 |
| 1033656962 | Amy Hicks | Nurse Practitioner | 714 Cedar St, Carrollton, GA 30117-2415 | 2017-01-30 |
| 1447667696 | Wal-mart Stores East, Lp | Nurse Practitioner | 1735 S Highway 27, Carrollton, GA 30117-8941 | 2014-07-21 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 75006 |
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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.