NPIMap

Individual provider Active NPI

Michelle G. Everhart Walsh, MD

  • Pediatrics Physician
  • Lincoln, NE
National Provider Identifier
1265436216
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
20819 Issued in NE
Practice address
7001 A St
Suite 110
Lincoln, NE 68510-4201
Phone
(402) 489-0800
Fax
(402) 489-6803
NPI assigned
Jun 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 20819 NE Primary

Addresses

Primary practice location

7001 A St
Suite 110
Lincoln, NE 68510-4201

Mailing address

7001 A St
Suite 110
Lincoln, NE 68510-4201
Phone (402) 489-0800

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

LicenseStateTypeSpecialty
20819NEMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Management Services of Nebraska, LLC Past Accepting new patients
Pediatrics, P.C. Pediatrics Past Accepting new patients
Bryan Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: drwalsh@pediatricspc.opdirect.net

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1265436216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 A ST",
            "address_2": "SUITE 110",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104201",
            "telephone_number": "402-489-0800",
            "fax_number": "402-489-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 A ST",
            "address_2": "SUITE 110",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104201",
            "telephone_number": "402-489-0800",
            "fax_number": "402-489-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "MICHELLE",
        "middle_name": "G. EVERHART",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-08",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NE",
            "license": "20819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.