WALMART CARE CLINIC 10-1339
NPI 1104227982
Nurse Practitioner in Columbia, SC

Q: What is Wal-Mart Stores East, LP's NPI number?

The NPI number for Wal-Mart Stores East, LP is 1104227982. It was assigned to this organization in the NPPES registry on September 11, 2014. The provider is doing business as Walmart Care Clinic 10-1339.

Q: What is Wal-Mart Stores East, LP's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since September 11, 2014

10060 TWO NOTCH RD, COLUMBIA, SC 29223(803) 567-6338(803) 736-6204 Get Directions Write a Review

NPPES record last updated: February 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Walmart Care Clinic 10-1339 NPPES

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

WALMART CARE CLINIC 10-1339 (NPI 1104227982) is a healthcare organization registered as a nurse practitioner in Columbia, South Carolina and active in the NPI registry since September 2014. The organization lists Laura Levine, Director Of Healthcare Contracting, as its authorized official.

NPPES Registry Identity

NPI1104227982

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameWAL-MART STORES EAST, LP

Location Address10060 TWO NOTCH RDColumbia, SC 29223-4396

Mailing Address702 Sw 8th StBentonville, AR 72716-0445 · (479) 204-8550

Phone(803) 567-6338

Fax(803) 736-6204

Organization SubpartYesParent: Wal-mart Stores, Inc.

Authorized OfficialLaura LevineDirector Of Healthcare Contracting · (479) 204-8550

Enumeration DateSeptember 11, 2014

Last NPPES UpdateFebruary 19, 2015

✔ NPI 1104227982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

10060 TWO NOTCH RD, Columbia, SC 29223

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Other Names 1

Doing Business AsWalmart Care Clinic 10-1339

Other Identifiers 2

MedicaidGP6567SC

OtherD953SC · Medicare Ptan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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