Teresa Rose Walding, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

631865 Issued in TX

Practice address

707 Carmen St
Killeen, TX 76541-7686

Phone

(254) 702-9415

NPI assigned

Feb 21, 2019

Last updated

Feb 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Mrs. Teresa R Lewis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1437616810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 CARMEN ST",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765417686",
            "telephone_number": "254-702-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 CARMEN ST",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765417686",
            "telephone_number": "254-702-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDING",
        "first_name": "TERESA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "TX",
            "license": "631865",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TX",
            "license": "631865",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "631865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "LEWIS",
            "middle_name": "R",
            "prefix": "MRS.",
            "credential": "RN, NC-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Casey Walker, CRNA

• Registered Nurse in Killeen, TX
• Providers in Killeen, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.