Individual provider Active NPI

Kelly Walsh, APRN-CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1265989909
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
277836 Issued in AZ
Practice address
4301 N 75TH St Ste 202
Scottsdale, AZ 85251-3538
Phone
(623) 432-9908
NPI assigned
Sep 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.387195 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277836 AZ Primary
Registered Nurse 163W00000X RN767139 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.024376 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP027057 PA

Addresses

Primary practice location

4301 N 75TH St Ste 202
Scottsdale, AZ 85251-3538

Mailing address

4301 N 75TH St Ste 202
Scottsdale, AZ 85251-3538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190812001911 OH Practitioner - Nurse Practitioner 4082941216 Reassigns benefits to 1 organization
I20231004000962 PA Practitioner - Nurse Practitioner 4082941216 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.387195OHMDRegistered Nurse
RN767139PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Health Inc CurrentSince Jul 21, 2019 Accepting new patients
Signature Health, Inc. CurrentSince Jul 21, 2019 Accepting new patients
Delaware County Professional Services, Inc CurrentSince Aug 1, 2023 Accepting new patients
Armesha Health PLLC Psychiatric/Mental Health Past Accepting new patients

Locations

24200 Chagrin Blvd
Beachwood, OH 44122

21100 Southgate Park Blvd
Maple Heights, OH 44137
Phone (216) 663-6100

7232 Justin Way
Mentor, OH 44060
Phone (440) 488-2855

38876 Mentor Ave
Willoughby, OH 44094
Phone (440) 954-3333

38882 Mentor Ave
Willoughby, OH 44094

1055 E Baltimore Pike
Ste 300
Media, PA 19063
Phone (253) 346-0020

230 N Craig St
Ste B
Pittsburgh, PA 15213
Phone (412) 621-3777

780 E Market St
West Chester, PA 19382
Phone (425) 908-0237

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.kellywalsh@141748.advancedmd-direct.com
  • Direct secure messaging: kwalsh327841@direct.ochin.org

Organizations & group practices 4

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": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1265989909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 N 75TH ST STE 202",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 N 75TH ST STE 202",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513538",
            "telephone_number": "623-432-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "KELLY",
        "credential": "APRN-CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-09",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.387195",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "277836",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN767139",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.024376",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP027057",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.