Active NPI
Shanique Walker
- Case Manager/Care Coordinator
- Houston, TX
National Provider Identifier
1790524759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- C14128
- Practice address
- PO Box 60976
Houston, TX 77205-0976 - Phone
- (832) 977-8047
- NPI assigned
- May 20, 2024
- Last updated
- May 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | C14128 | TX | |
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Case Manager/Care Coordinator | 171M00000X | C14128 | TX | Primary |
| Prevention Professional | 405300000X | C14128 | TX |
Addresses
Primary practice location
PO Box 60976
Houston, TX 77205-0976
Mailing address
PO Box 60976
Houston, TX 77205-0976
Phone (832) 977-8047
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C14128 | TX | MD | Emotionally Disturbed Childrens' Residential Treatment Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Decisions LLC | Case Manager/Care Coordinator | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1790524759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60976",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772050976",
"telephone_number": "832-977-8047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 60976",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772050976",
"telephone_number": "832-977-8047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "SHANIQUE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-20",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "TX",
"license": "C14128",
"primary": false
},
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "TX",
"license": "C14128",
"primary": true
},
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "TX",
"license": "C14128",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.