Individual provider Active NPI

Andria Walker, FNP-C

  • Family Nurse Practitioner
  • Rosenberg, TX
National Provider Identifier
1962020701
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1046563 Issued in TX
Practice address
545 FM 2977 Rd
Rosenberg, TX 77469-7507
Phone
(832) 930-8399
NPI assigned
Jul 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 921461 TX
Family Nurse Practitioner 363LF0000X 1046563 TX Primary

Addresses

Primary practice location

545 FM 2977 Rd
Rosenberg, TX 77469-7507

Mailing address

20310 Peralta Cliff TRL
Richmond, TX 77407-2189
Phone (832) 638-9886

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
I20210816001100 TX Practitioner - Nurse Practitioner 0941605836 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Infusions LLCGroup PAC ID 6608054044, 102 clinicians

Practice addresses (Care Compare)

4710 Bellaire Blvd
Suite 340
Bellaire, TX 77401-4530
Phone (713) 860-1755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
921461TXMDRegistered Nurse
1046563TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Imed Physician Network, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Innovative Infusions, LLC CurrentSince Aug 1, 2022 Accepting new patients
Brazos Hybrid Pharmacy LLC CurrentSince Jul 19, 2021 Accepting new patients
Innovative Infusions, LLC CurrentSince Aug 1, 2022 Accepting new patients
Ivx Health of Texas P.a. CurrentSince Feb 5, 2024 Accepting new patients

Locations

200 N Mesquite St
Ste 115
Arlington, TX 76011
Phone (817) 200-2530

720 W 34th St
Ste 104
Austin, TX 78705
Phone (512) 261-4800

4710 Bellaire Blvd
Ste 340
Bellaire, TX 77401
Phone (713) 860-1755

1400 E Whitestone Blvd
Ste 400
Cedar Park, TX 78613
Phone (512) 640-5200

8100 John W Carpenter Fwy
Ste 150
Dallas, TX 75247
Phone (972) 672-4895

11317 N Central Expy
Ste 100
Dallas, TX 75243
Phone (972) 408-2777

11693 Westheimer Rd
Ste 180
Houston, TX 77077
Phone (346) 355-4352

21927 Clay Rd
Ste 900
Katy, TX 77449
Phone (832) 709-1064

2700 W Pleasant Run Rd
Ste 340
Lancaster, TX 75146
Phone (469) 206-4515

3033 W President George Bush Hwy
Ste 100
Plano, TX 75075
Phone (877) 365-5566

545 Minonite Rd
Ste 110
Rosenberg, TX 77469
Phone (832) 930-8399

1922 Dry Creek Way
Ste 134
San Antonio, TX 78259
Phone (210) 485-3700

6600 Spring Stuebner Rd
Ste 180
Spring, TX 77389
Phone (832) 631-6586

137 Citadel Way
Ste B
Sugar Land, TX 77479
Phone (832) 924-3374

1201 Creek Way Dr
Ste C
Sugar Land, TX 77478
Phone (281) 302-6636

Organizations & group practices 10

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": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1962020701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20310 PERALTA CLIFF TRL",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072189",
            "telephone_number": "832-638-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 FM 2977 RD",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774697507",
            "telephone_number": "832-930-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ANDRIA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "921461",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1046563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosenberg, TX

Sources for this page

Verify at the official NPI Registry.