Marnie Walsh, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1804 Issued in CO

Practice address

9197 Grant St
Suite 200
Thornton, CO 80229-4329

Phone

(303) 450-3690

Fax

(303) 962-1511

NPI assigned

Oct 14, 2008

Last updated

Mar 7, 2016By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marnie.walsh.1@14034.direct.athenahealth.com
• Direct secure messaging: marnie.walsh@corhio.medicity.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rocky Mountain Youth Medical & Nursing Consultants Inc

  dba Every Child Pediatrics

  • Pediatrics Physician
  • Thornton, CO
  • NPI 1730295296
  NPD
• Rocky Mountain Youth Medical and Nursing Consultants, Inc

  dba Every Child Pediatrics

  • Multi-Specialty Clinic/Center
  • Cortez, CO
  • NPI 1245830124
  NPD (past)
• Rocky Mountain Youth Medical and Nursing Consultants, Inc

  dba Every Child Pediatrics

  • Multi-Specialty Clinic/Center
  • Aurora, CO
  • NPI 1326543497
  NPD (past)

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1225280837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9197 GRANT ST",
            "address_2": "SUITE 200",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294329",
            "telephone_number": "303-450-3690",
            "fax_number": "303-962-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9197 GRANT ST",
            "address_2": "SUITE 200",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294329",
            "telephone_number": "303-450-3690",
            "fax_number": "303-962-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "MARNIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-14",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "1804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1058548",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faith Ann Wallace, M.S., L.P.C.
• Walmart Inc. (WalMart Pharmacy 10-3019)
• Walmart Inc. (Walmart Pharmacy 10-4567)
• Walmart Inc. (Walmart Pharmacy 10-1231)
• Hannah Walsh
• Andrew L. Walshak
• Jennifer Walter, RN
• Yi Wang, PHARM D.
• Matthew Thomas Ward
• Patricia Ward, MSW, MAC INTERN

• Medical Physician Assistant in Thornton, CO
• Providers in Thornton, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.