Stacey Lynne Walsh I, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

U2-0000718 Issued in DE

Practice address

4949 Ogletown Stanton Rd
Newark, DE 19713-2068

Phone

(302) 998-6900

NPI assigned

Mar 29, 2007

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

Other names 1

• Ms. Stacey Lynne Dunlap Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194845875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 W 27TH ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198023466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 OGLETOWN STANTON RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132068",
            "telephone_number": "302-998-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "STACEY",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "name_suffix": "I",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "DE",
            "license": "U2-0000718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "DUNLAP",
            "middle_name": "LYNNE",
            "prefix": "MS.",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Jean Walls, ANP-BC
• Donna Marie Walsh, PHARM.D.
• Hannah Beth Walsh, PT, DPT
• James Michael Walsh, PH.D.
• Madeleine Emily Walsh, MD
• Kathryn Mae Walters
• Anne N Walton, M.D.
• Joyce Caroline Wambui
• Aaron Wang
• Alan Wang, DO

• Occupational Therapy Assistant in Newark, DE
• Providers in Newark, DE by specialty
• Occupational Therapy Assistant in Delaware

• 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.