Individual provider Active NPI

Fatisha Antionette Walker

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1205229911
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP126387 Issued in TX
Practice address
2312 Tidwell Rd
Houston, TX 77093-6731
Phone
(281) 272-0888
Fax
(832) 559-8584
NPI assigned
Mar 5, 2015
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP126387 TX
Family Nurse Practitioner 363LF0000X AP126387 TX Primary

Addresses

Primary practice location

2312 Tidwell Rd
Houston, TX 77093-6731

Mailing address

2302 Tidwell Rd
Houston, TX 77093-6731

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
I20160623002236 TX Practitioner - Nurse Practitioner 6507157492 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP126387TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of TX, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Jasper Emergency Medicine Associates PA Nurse Practitioner CurrentSince Aug 10, 2021 Accepting new patients
Jefferson Emergency Medicine Associates PA Nurse Practitioner CurrentSince Aug 3, 2021 Accepting new patients
Sound Physicians Emergency Medicine of Texas PLLC Nurse Practitioner CurrentSince Oct 1, 2019 Accepting new patients
Southeast Emergency Medicine Associates, PA Nurse Practitioner CurrentSince Aug 2, 2021 Accepting new patients
Singleton Associates PA Nurse Practitioner Past Accepting new patients
Impact Podiatry PLLC PastSince Mar 28, 2021 Accepting new patients

Locations

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

6191 E Sam Houston Pkwy N
#B
Houston, TX 77049
Phone (713) 295-5300

710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

6002 Fairmont Pkwy
Pasadena, TX 77505
Phone (713) 359-2100

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

3600 Gates Blvd
Port Arthur, TX 77642
Phone (409) 985-7431

8801 9th Ave
Port Arthur, TX 77642
Phone (409) 724-3600

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1205229911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 TIDWELL RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770936731",
            "fax_number": "832-559-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 TIDWELL RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770936731",
            "telephone_number": "281-272-0888",
            "fax_number": "832-559-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "FATISHA",
        "middle_name": "ANTIONETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-05",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP126387",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.