Individual provider Active NPI

Laurie Walters, APRN, FNP

  • Family Nurse Practitioner
  • Richardson, TX
National Provider Identifier
1942513676
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
578996 Issued in TX
Practice address
3001 E President George Bush Hwy Ste 175
Richardson, TX 75082-3551
Phone
(214) 635-5701
Fax
(844) 289-7691
NPI assigned
Jul 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 578996 TX Primary

Addresses

Primary practice location

3001 E President George Bush Hwy Ste 175
Richardson, TX 75082-3551

Mailing address

3001 E President George Bush Hwy Ste 210
Richardson, TX 75082-3552
Phone (469) 913-9400

Other identifiers 2

IdentifierTypeStateIssuer
300834402MedicaidTX
300834401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110927000766 TX Practitioner - Nurse Practitioner 7012188873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

3001 E President George Bush Hwy
Suite 210
Richardson, TX 75082-3552
Phone (469) 913-9400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
578996TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Feb 21, 2022 Accepting new patients
Medhealth CurrentSince Feb 21, 2022 Accepting new patients
CPR Diagnostics LP Past Accepting new patients
Advanced Pain & Rehabilitation Association PLLC Past Accepting new patients

Locations

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

3001 George Bush Hwy
Ste 175
Richardson, TX 75082
Phone (214) 231-9874

3001 George Bush Hwy
Ste 210
Richardson, TX 75082
Phone (469) 204-6100

2821 George Bush Hwy
Ste 309
Richardson, TX 75082
Phone (214) 231-9874

613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700

Interoperability endpoints

  • Direct secure messaging: lwalters13290@dm.mhd.com

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1942513676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 E PRESIDENT GEORGE BUSH HWY STE 210",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823552",
            "telephone_number": "469-913-9400",
            "fax_number": "469-913-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 E PRESIDENT GEORGE BUSH HWY STE 175",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823551",
            "telephone_number": "214-635-5701",
            "fax_number": "844-289-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "LAURIE",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-22",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "578996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300834402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300834401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.