Carla Walter

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

4125 Hardeman Ave
Fort Worth, TX 76119

Phone

(817) 443-2443

NPI assigned

Nov 14, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1053853697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7412 ASHCROFT CIR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761202424",
            "telephone_number": "817-443-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 HARDEMAN AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76119",
            "telephone_number": "817-443-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "CARLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Walsh, DC
• Ralph Claiborne Walsh Jr., DO
• Walter Dietrich Gracia, M.D., P.a.
• Walter L Adams DC PC
• Bonnie Ahrens Walter, PA-C
• Michael Capwell Walter, M.D.
• Paige Lindsey Walter
• Sheena Latrice Walter
• Cea Jaye Walters, RN
• Courtney Walters, M.D,

• Community Health Worker in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Community Health Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.