Kandyce Walker

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

1010157 Issued in TX

Practice address

202 Walton Way Ste 192 #457
Cedar Park, TX 78613-7046

Phone

(512) 630-0425

NPI assigned

Oct 16, 2020

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Trauma Recovery Institute PA

  • Psychiatric Hospital
  • Cedar Park, TX
  • NPI 1801415450
  NPD (past) Authorized official

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1770181216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 HARBOR DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786339329",
            "telephone_number": "512-630-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 WALTON WAY STE 192 #457",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137046",
            "telephone_number": "512-630-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KANDYCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-16",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1010157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAUMA RECOVERY INSTITUTE",
            "identifier": "1801415450",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores Texas, LLC (Walmart Vision Center 30-4163)
• Wal-Mart Stores Texas, LP (Vision Center 30-2991)
• Walgreen Co (Walgreens #07061)
• Walgreen Co (Walgreens #03342)
• Walgreen Co (Walgreens #06517)
• Natalie Walker, PTA
• Karla Teresa Waller, M.D.
• Anne Walsh, COTA
• Karen Dawn Walzel, PHARMD
• Kimberly Lee Wampler, O.D.

• Psychiatric/Mental Health Registered Nurse in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Psychiatric/Mental Health Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.