Laura Ravenel Walker, RN

Primary specialty

Home Health Clinical Nurse SpecialistTaxonomy code 364SH0200X

License

109073 Issued in LA

Practice address

4030 Highway 6 S Ste 325
College Station, TX 77845-1803

Phone

(979) 431-3380

Fax

(979) 690-1008

NPI assigned

Jan 12, 2021

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1689263931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8370 COUNTY ROAD 150",
            "city": "CALDWELL",
            "state": "TX",
            "postal_code": "778365612",
            "telephone_number": "985-710-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 HIGHWAY 6 S STE 325",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778451803",
            "telephone_number": "979-431-3380",
            "fax_number": "979-690-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "LAURA",
        "middle_name": "RAVENEL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SH0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": "LA",
            "license": "109073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores Texas, LP (Vision Center 30-1150)
• Walgreen Co (Walgreens #06822)
• Walgreen Co (Walgreens #07378)
• Walgreen Co (Walgreens #15586)
• Jessica Holder Walker, M.D.
• Lindsay Reese Walker
• Taylor L Wallace
• Jenna L Walls
• Jessica Davalos Walsh, M.S., LPC, LMFT
• John Henry Walsh

• Clinical Nurse Specialist in College Station, TX
• Providers in College Station, TX by specialty
• Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.