Awndrea Walker

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

443462 Issued in TX

Practice address

1121 Kielder Cir
Fort Worth, TX 76134-4514

Phone

(817) 877-7466

NPI assigned

Jan 9, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Serenity Square L.L.C

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Ft. Worth, TX
  • NPI 1013439686
  NPD Authorized official

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1114463650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 KIELDER CIR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761344514",
            "telephone_number": "817-877-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 KIELDER CIR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761344514",
            "telephone_number": "817-877-7466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "AWNDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "TX",
            "license": "443462",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "314011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Temihya Walker-Parson
• Alexandria Walker
• Alyssa Brice Walker, PA-C
• Amanda Walker, LCSW, LCDC
• Amy Kathleen Walker, CRNA
• Bettina Bridgford Walker, M.D.
• Brandon Walker, DPT, MHA
• Claudia Walker, LPC
• Crystal Diane Walker, PA
• Desra Aileen Walker, LPTA

• Administrator Registered Nurse in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Administrator Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.