DR. SADIE ROSE WALTER DO
NPI 1003631599
Student in an Organized Health Care Education/Training Program in Tyler, TX

Q: What is Sadie Walter's NPI number?

The NPI number for Sadie Walter is 1003631599. It was assigned to this individual provider in the NPPES registry on November 19, 2024.

Q: What is Sadie Walter's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Sadie Walter was last updated on July 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 19, 2024PECOS Enrolled

11937 US HIGHWAY 271, TYLER, TX 75708(903) 877-7200 Get Directions Write a Review

NPPES record last updated: July 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 14, 2025, Dec 24, 2024, Nov 19, 2024 (3 updates tracked since 2024).

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About Dr. Sadie Rose Walter Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SADIE ROSE WALTER DO (NPI 1003631599) is an individual student in an organized health care education/training program in Tyler, Texas and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003631599

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. SADIE ROSE WALTERCredential: DO

Location Address11937 US HIGHWAY 271Tyler, TX 75708-3154

Mailing Address11937 Us Highway 271Tyler, TX 75708-3154 · (903) 877-7200

Phone(903) 877-7200

Sole ProprietorNo

Enumeration DateNovember 19, 2024

Last NPPES UpdateJuly 20, 20253 updates tracked since enumeration

NPPES CertifiedJuly 20, 2025

✔ NPI 1003631599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

11937 US HIGHWAY 271, Tyler, TX 75708

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sadie Rose Walter Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.