Walking E Family Practice PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

WALKING E FAMILY PRACTICE PLLC

Practice address

857 Polk St
Twin Falls, ID 83301-4095

Phone

(208) 731-9404

Fax

(208) 213-9822

NPI assigned

Mar 27, 2024

Last updated

Jul 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joann Habbaba

Title

Patient Services Coordinator

Phone

(208) 731-9404

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stacie Ann Benkula, FNP

  • Family Nurse Practitioner
  • Twin Falls, ID
  • NPI 1174116180

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Cynthia Calderon

  • Family Nurse Practitioner
  • Twin Falls, ID
  • NPI 1255160347
  Medicare reassignment Care Compare group NPD
• Mindy L Brown, PA

  • Physician Assistant
  • Twin Falls, ID
  • NPI 1083704498
  Medicare reassignment Care Compare group
• Colby Estelle Tolman, PA-C

  • Physician Assistant
  • Twin Falls, ID
  • NPI 1689001646
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1710738968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 POLK ST",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014095",
            "telephone_number": "208-731-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 POLK ST",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014095",
            "telephone_number": "208-731-9404",
            "fax_number": "208-213-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKING E FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "HABBABA",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "PATIENT SERVICES COORDINATOR",
        "authorized_official_telephone_number": "208-731-9404"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Walker, DPT
• Gary Paul Walker, O.D.
• Grant Taylor Walker, DPT
• Jared P. Walker, O.D.
• Miranda Walker, SLP
• Sarah Deaun Walling-Gifford, LCSW
• Walmart Inc. (WalMart Pharmacy 10-3897)
• Walmart Stores, Inc. (Vision Center 30-3897)
• Bret Ray Walters
• Tyler Walters

• Family Nurse Practitioner in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.