Carol Marie Walsh, RD.LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

690853 Issued in MO

Practice address

4887 Southidge Park Drive
St Louis, MO 63129-1773

Phone

(314) 487-8413

NPI assigned

Oct 10, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Tenet Healthsystem Di, Inc.

  • General Acute Care Hospital
  • Saint Louis, MO
  • NPI 1104857994
  NPD (past)

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1295923696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4887 SOUTHIDGE PARK DRIVE",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631291773",
            "telephone_number": "314-487-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4887 SOUTHIDGE PARK DRIVE",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631291773",
            "telephone_number": "314-487-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "CAROL",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RD.LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "690853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Allen Walseth, LPC
• Vanya S Walsh-Johnson
• Amber C Walsh, PHARMD
• Anne Walsh, MA CCC-SLP
• Barbara Voss Walsh, M.D.
• Colleen Walsh, RN, CPNP
• James Travis Walsh, MD
• Jane Walsh
• Jarrett Elbert Walsh, MD
• Jennifer Walsh, LPC

• Registered Dietitian in St Louis, MO
• Providers in St Louis, MO by specialty
• Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.