Active NPI
Ryan Walde, MD
- Anatomic Pathology Physician
- Nashville, TN
National Provider Identifier
1235758442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 73131
- Practice address
- 303 Lights Hall
Nashville, TN 37232-0001 - Phone
- (615) 322-7061
- NPI assigned
- Apr 9, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | L.5579R | AL | |
| Anatomic Pathology Physician | 207ZP0101X | 73131 | TN | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | L.5579R | AL |
Addresses
Primary practice location
303 Lights Hall
Nashville, TN 37232-0001
Mailing address
610 Sylvan Heights Way Apt 247
Nashville, TN 37209-4986
Phone (314) 363-7358
Other practice location 1
1402 S Grand Blvd
Saint Louis, MO 63104-1004
Phone (314) 577-8694
Other practice location 2
2451 University Hospital Dr.
Moorer Bldg. Room 120
Mobile, AL 36617
Phone (251) 471-7786
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73131 | TN | MD | Anatomic Pathology Physician |
| L.5579R | AL | MD | Anatomic Pathology & Clinical Pathology Physician |
Interoperability endpoints
- rwalde961160@direct.vumc.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749600000000",
"number": "1235758442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 SYLVAN HEIGHTS WAY APT 247",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372094986",
"telephone_number": "314-363-7358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 LIGHTS HALL",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372320001",
"telephone_number": "615-322-7061"
}
],
"practiceLocations": [
{
"address_1": "1402 S Grand Blvd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631041004",
"country_code": "US",
"telephone_number": "314-577-8694",
"fax_number": "314-577-8374",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2451 University Hospital Dr.",
"address_2": "Moorer Bldg. Room 120",
"address_purpose": "LOCATION",
"city": "Mobile",
"state": "AL",
"postal_code": "36617",
"country_code": "US",
"telephone_number": "251-471-7786",
"fax_number": "251-471-7884",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALDE",
"first_name": "RYAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-09",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "AL",
"license": "L.5579R",
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "TN",
"license": "73131",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "AL",
"license": "L.5579R",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.