Individual provider Active NPI

Sarah Walker

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Charles, LA
National Provider Identifier
1760825152
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP07297 Issued in LA
Practice address
1924 Southwood Dr
Lake Charles, LA 70605-4131
Phone
(337) 240-8162
NPI assigned
Apr 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP07297 LA Primary

Addresses

Primary practice location

1924 Southwood Dr
Lake Charles, LA 70605-4131

Mailing address

324 W Hale St
Lake Charles, LA 70601-8439
Phone (337) 433-9177

Other practice location 1

324 W Hale St
Lake Charles, LA 70601-8439
Phone (337) 433-9177

Other practice location 2

760 Bayou Pines East Dr
Lake Charles, LA 70601-7184
Phone (337) 433-9177

Other identifiers 1

IdentifierTypeStateIssuer
2346580MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131226001326 LA Practitioner - Nurse Practitioner 5597992354 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Renaissance Solutions LLCGroup PAC ID 4385037555, 6 clinicians

Practice addresses (Care Compare)

1924 Southwood Dr
Lake Charles, LA 70605-4131
Phone (337) 240-8162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP07297LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Solutions, LLC Psychiatric/Mental Health CurrentSince Jan 1, 2022 Accepting new patients
Mental Connections of Southwest LLC CurrentSince Apr 30, 2021 Accepting new patients
Theresa M Ivey LLC Past Accepting new patients

Locations

127 Williamsburg St
Bldg E
Lake Charles, LA 70605
Phone (337) 376-0136

1924 Southwood Dr
Lake Charles, LA 70605
Phone (337) 240-8162

760 Bayou Pines East Dr
Lake Charles, LA 70601
Phone (337) 562-0510

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1760825152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 W HALE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018439",
            "telephone_number": "337-433-9177",
            "fax_number": "337-433-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 SOUTHWOOD DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054131",
            "telephone_number": "337-240-8162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "324 W Hale St",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706018439",
            "country_code": "US",
            "telephone_number": "337-433-9177",
            "fax_number": "337-433-9173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "760 Bayou Pines East Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706017184",
            "country_code": "US",
            "telephone_number": "337-433-9177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "SARAH",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-16",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP07297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2346580",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.