WAL-MART STORES TEXAS, LLC (NPI# 1841607082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841607082 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES TEXAS, LLC |
| Other Organization Name | WALMART CARE CLINIC 10-3224 |
| Practice Address |
555 W Interstate 30 Garland TX 75043-5702 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 9725351562 |
| Practice Fax Number | 9723032101 |
| Mailing Telephone | 4792048550 |
| Enumeration Date | 2014-07-21 |
| 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 10-3224 | 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 |
555 W INTERSTATE 30 |
| City | GARLAND |
| State | TX |
| Zip Code | 75043-5702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447334842 | Wal-mart Stores Texas, Lp | Technician/Technologist | 555 W Interstate 30, Garland, TX 75043-5729 | 2006-10-24 |
| 1265032585 | Steve Huynh | Pharmacist | 555 W Interstate 30, Garland, TX 75043-5702 | 2020-10-27 |
| 1346416195 | Lisa Mathai | Nurse Practitioner | 555 W Interstate 30, Walmart Care Clinic, Garland, TX 75043-5702 | 2008-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811509672 | Hospice Angels, LLC. | Hospice Care, Community Based | 350 Oaks Trail, Suite # 201, Garland, TX 75043 | 2020-08-21 |
| 1639683212 | H&p Diagnostic Services LLC | Specialist/Technologist, Other | 310 E Interstate 30 Ste M105, Garland, TX 75043 | 2017-11-19 |
| 1013439934 | Shereen Raju Varughese | Nurse Practitioner | 2605 Claymore Avenue, Garland, TX 75043 | 2017-07-12 |
| 1558891176 | Eluzay LLC | Technician | 2302 Guthrie Road, Suite 140, Garland, TX 75043 | 2017-06-15 |
| 1841740065 | Francesca Crye Anokwute | Nurse Practitioner | 4514 Grantham Drive, Garland, TX 75043 | 2016-10-12 |
| 1013394329 | Amber M Murphy | Dietitian, Registered | 2435 N. Central Expwy, 12th Floor, Richardson, TX 75043 | 2015-05-06 |
| 1811303266 | Saint Jude Hospice and Palliative Care LLC | Hospice Care, Community Based | 346 Oaks Trail #225, Garland, TX 75043 | 2014-07-07 |
| 1992149306 | Richard Shad Hattaway | Dentist | 6452 Broadway Boulevard, Garland, TX 75043 | 2013-04-29 |
| 1407106370 | Jennifer Frances Burtt | Physician Assistant | 545 Interstate 30 Frontage Rd, Mesquite, TX 75043 | 2012-09-18 |
| 1083991319 | Vidya Suri Dds Pa | Dentist | 6521 Duck Creek Dr, Garland, TX 75043 | 2011-11-15 |
| Find all providers in zip 75043 | ||||
| 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 |
|---|---|---|---|---|
| 1013439934 | Shereen Raju Varughese | Nurse Practitioner | 2605 Claymore Avenue, Garland, TX 75043 | 2017-07-12 |
| 1750472551 | Jamie Nduta Kamara | Nurse Practitioner | 5410 Bobtown Road, Garland, TX 75243 | 2006-09-27 |
| 1073070355 | Theresa N. Peters | Nurse Practitioner | 2241 Peggy Ln Ste E, Garland, TX 75042-5709 | 2019-02-22 |
| 1629570080 | Anitha Tanam | Nurse Practitioner | 3050 S 1st St Ste 209, Garland, TX 75041-3442 | 2018-03-01 |
| 1902259815 | Malika Abdelfettah | Nurse Practitioner | 1919 S Shiloh Rd, Suite 218, Garland, TX 75042-8234 | 2016-07-14 |
| 1487056339 | Michael Rasmussen | Nurse Practitioner | 300 W 1400 S, Garland, UT 84312-9100 | 2014-09-23 |
| 1134369788 | Medhealth Housecalls Incorporated | Nurse Practitioner | 2605 Chesapeake Dr, Garland, TX 75043-0901 | 2009-02-23 |
| 1780847327 | Juliana Owusu | Nurse Practitioner | 2300 Marie Curie Dr, Garland, TX 75042-5706 | 2008-07-03 |
| 1407034515 | Dallas County Hospital District | Nurse Practitioner | 601 Clara Barton Blvd Ste 200, Garland, TX 75042-5755 | 2008-01-31 |
| 1467468587 | Jill Arnold Watson | Nurse Practitioner | 2300 Marie Curie Dr, Garland, TX 75042-5706 | 2006-07-31 |
| Find all providers in GARLAND | ||||
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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.