Sarah E Walker-Ennis

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

349194 Issued in TX

Practice address

3924 Tem Bel LN
Temple, TX 76502-5932

Phone

(682) 402-6643

NPI assigned

Aug 18, 2019

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

State licenses

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

{
    "created_epoch": "1566086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566086400000",
    "number": "1366098063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1191",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765031191",
            "telephone_number": "682-402-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3924 TEM BEL LN",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765025932",
            "telephone_number": "682-402-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER-ENNIS",
        "first_name": "SARAH",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-18",
        "last_updated": "2019-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "349194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores Texas, LLC
• Wal-Mart Stores Texas, LP
• Walgreen Co
• Walgreen Co
• Walk-in Clinic, LLC
• Carolyn H Walker, PT MS
• Douglas W Walker, PA
• Jaitavia N Walker
• Kim L. Walker, M.D.
• Stephen Charles Walker, M.D.

• All providers in Temple, TX
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2019; 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.