Colleen Walsh-Irwin, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F301388-1 Issued in NY

Practice address

79 Middleville Rd
Northport, NY 11768-2200

Phone

(631) 266-6047

Fax

(631) 754-7968

NPI assigned

Aug 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174630313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 CEDRUS AVE",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117314414",
            "telephone_number": "631-368-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 MIDDLEVILLE RD",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682200",
            "telephone_number": "631-266-6047",
            "fax_number": "631-754-7968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH-IRWIN",
        "first_name": "COLLEEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F301388-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wanda Lee Wade, LMT, CMLDT
• Nandita Wadhwa, M.D.
• Krista Waldhauer, BS
• Walgreen Co
• Walgreen Co
• Jolienne Adria Walters-Harvey, NURSE PRACTITIONER
• Jessica F Walz, PA
• Jennifer C Wang
• Heather Dawn Watson-Mott, MSW
• Kyle Devon Watts, CTRS

• Adult Health Nurse Practitioner in Northport, NY
• Providers in Northport, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.