RANDY WALKER
NPI 1104409374
Licensed Practical Nurse in Fort Cavazos, TX

Q: What is Randy Walker's NPI number?

The NPI number for Randy Walker is 1104409374. It was assigned to this individual provider in the NPPES registry on May 4, 2021.

Q: What is Randy Walker's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Randy Walker was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 04, 2021

INTREPID SPIRIT CLINIC 36029 58TH STREET, FORT CAVAZOS, TX 76544(703) 347-3190 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 12, 2025, May 4, 2021 (2 updates tracked since 2021).

On this page

About Randy Walker NPPES

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

RANDY WALKER (NPI 1104409374) is an individual licensed practical nurse in Fort Cavazos, Texas, licensed in Texas (149902) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1104409374

Entity TypeIndividualMale

Primary Taxonomy164W00000X

Provider Legal NameRANDY WALKER

Location AddressINTREPID SPIRIT CLINIC 36029 58TH STREETFort Cavazos, TX 76544

Mailing Address36065 Santa Fe AveFort Cavazos, TX 76544-5060

Phone(703) 347-3190

Sole ProprietorNo

Enumeration DateMay 4, 2021

Last NPPES UpdateFebruary 12, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 7, 2025

✔ NPI 1104409374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in TX · 149902

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

INTREPID SPIRIT CLINIC 36029 58TH STREET, Fort Cavazos, TX 76544

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randy Walker's NPI number?

The NPI number for Randy Walker is 1104409374. It was assigned to this individual provider in the NPPES registry on May 4, 2021.

Where is Randy Walker located?

Randy Walker practices at Intrepid Spirit Clinic 36029 58th Street, Fort Cavazos, TX 76544. The listed phone number is (703) 347-3190.

What is Randy Walker's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Randy Walker was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.