Individual provider Active NPI

Lesa Carol Walker, FNP, APRN

  • Family Nurse Practitioner
  • Heath, TX
National Provider Identifier
1093765463
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
108002 Issued in TX
Practice address
6720 Horizon Rd
Heath, TX 75032-2058
Phone
(469) 402-2800
Fax
(469) 402-0348
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 569740 TX
Family Nurse Practitioner 363LF0000X 108002 TX Primary

Addresses

Primary practice location

6720 Horizon Rd
Heath, TX 75032-2058

Mailing address

6720 Horizon Rd
Heath, TX 75032-2058
Phone (469) 402-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060119000587 TX Practitioner - Nurse Practitioner 4284658089 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
108002TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
V. John Gonino D.O, P.a. CurrentSince Apr 27, 2014 Accepting new patients

Locations

6720 Horizon Rd
Rockwall, TX 75032
Phone (469) 402-2800

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1093765463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 HORIZON RD",
            "city": "HEATH",
            "state": "TX",
            "postal_code": "750322058",
            "telephone_number": "469-402-2800",
            "fax_number": "469-402-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 HORIZON RD",
            "city": "HEATH",
            "state": "TX",
            "postal_code": "750322058",
            "telephone_number": "469-402-2800",
            "fax_number": "469-402-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "LESA",
        "middle_name": "CAROL",
        "credential": "FNP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "569740",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "108002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heath, TX

Sources for this page

Verify at the official NPI Registry.