Active NPI
Sharon Walters, RN, CNS, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Bedford, TX
National Provider Identifier
1639133713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 4-23299
- Practice address
- 1604 Hospital Pkwy
Suite 507
Bedford, TX 76022-6986 - Phone
- (817) 354-7268
- Fax
- (817) 354-9930
- NPI assigned
- Apr 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4-23299 | TX | Primary |
Addresses
Primary practice location
1604 Hospital Pkwy
Suite 507
Bedford, TX 76022-6986
Mailing address
1604 Hospital Pkwy Ste 507
Bedford, TX 76022-6933
Phone (469) 774-2823
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4-23299 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328572800000",
"number": "1639133713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 HOSPITAL PKWY STE 507",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760226933",
"telephone_number": "469-774-2823",
"fax_number": "817-354-9930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 HOSPITAL PKWY",
"address_2": "SUITE 507",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760226986",
"telephone_number": "817-354-7268",
"fax_number": "817-354-9930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTERS",
"first_name": "SHARON",
"name_prefix": "Mrs.",
"credential": "RN, CNS, PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-14",
"last_updated": "2012-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "4-23299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.