Jeri Lou Walsh

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

200642925RN Issued in OR

Practice address

1877 Williams Hwy
Grants Pass, OR 97527-5802

Phone

(541) 224-2068

Fax

(541) 830-7527

NPI assigned

May 10, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 3

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": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1245976505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1787 HILLPARK PL",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975264252",
            "telephone_number": "541-660-5685",
            "fax_number": "541-803-7527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1877 WILLIAMS HWY",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275802",
            "telephone_number": "541-224-2068",
            "fax_number": "541-830-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "JERI",
        "middle_name": "LOU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Community Health",
            "state": "OR",
            "license": "200642925RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeri.walsh@va.gov",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1877 Williams Hwy",
            "city": "Grants Pass",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975275802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jeri.walsh@va.gov",
            "affiliation": "N",
            "endpointDescription": "Email VHA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "work email",
            "address_1": "1877 Williams Hwy",
            "city": "Grants Pass",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975275802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jeri.walsh@va.gov",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1877 Williams Hwy",
            "city": "Grants Pass",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975275802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Summerlynne Walker
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• Kristina Marie Wallace, PA-C
• Kimberly L Waller, PA-C
• Walmart Inc.
• Scott M. Walters, O.D.
• Jacob T Waltrip, LMT
• Paula Marie Warden, L. AC
• Alicia Shaevon Warner
• Allegra Nicole Warren

• Community Health Registered Nurse in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Community Health Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.