DR. SADIE ROSE WALTER DO NPI 1003631599

NPI Information

NPI: 1003631599
Provider Name: DR. SADIE ROSE WALTER, DO
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address: 11937 US HIGHWAY 271
TYLER, TX
ZIP 75708
Phone: (903) 877-7200

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NPI Details

DR. Sadie Rose Walter, DO is a student in an organized health care education training program in Tyler, TX. The provider is 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. DR. Sadie Rose Walter, DO NPI is 1003631599. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11937 US HIGHWAY 271
TYLER, TX
ZIP 75708-154
Phone: (903) 877-7200

The enumeration date for this NPI number is 11/19/2024 and was last updated on 5/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171M00000X	Case Manager/Care Coordinator				No
2	390200000X	Student in an Organized Health Care Education/Training Program				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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