Stacey Meece Walker

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1016287 Issued in TX

Practice address

4347 Phelan Blvd Ste 101
Beaumont, TX 77707-2159

Phone

(409) 767-9285

Fax

(409) 332-4104

NPI assigned

Oct 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Beaumont Urgent Care Setx, LLC

  • Urgent Care Clinic/Center
  • Beaumont, TX
  • NPI 1770141327
  Medicare reassignment NPD
• Primary Care Anywhere, PLLC

  • Family Nurse Practitioner
  • Beaumont, TX
  • NPI 1245898808
  Medicare reassignment NPD

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1366049686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 WATERWOOD DR",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776308237",
            "telephone_number": "409-790-0896",
            "fax_number": "409-332-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4347 PHELAN BLVD STE 101",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072159",
            "telephone_number": "409-767-9285",
            "fax_number": "409-332-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "STACEY",
        "middle_name": "MEECE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1016287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "stacey@primarycareanywhere.com",
            "affiliation": "N",
            "address_1": "4347 Phelan Blvd Ste 101",
            "city": "Beaumont",
            "state": "TX",
            "country_code": "US",
            "postal_code": "777072159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Janet N Walker, LCSW
• Larry Wardell Walker, LPC
• Lauryn Paige Walker
• Octavia Olvia Walker
• Sara Walker
• Vivian Joyce Walker
• Zandra B Walker, CMA
• Walkerhome4 LLC
• Austin Cecil Walkes, M.D.
• Walson, Inc.

• Family Nurse Practitioner in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.