Jennifer M Walsh, RN CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

PNP0024157708 Issued in VA

Practice address

1500 N Beauregard St Ste 200
Alexandria, VA 22311-1700

Phone

(703) 231-9059

Fax

(703) 212-6606

NPI assigned

Mar 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Registered Nurse

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.

• Alexandria Lake Ridge Pediatrics

  • Pediatrics Physician
  • Alexandria, VA
  • NPI 1649215955
  NPD (past)

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1346219169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 OSAGE ST",
            "address_2": "ALEXANDRIA LAKE RIDGE PEDIATRICS STE 104",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22302",
            "telephone_number": "703-212-6600",
            "fax_number": "703-931-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N BEAUREGARD ST STE 200",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111700",
            "telephone_number": "703-231-9059",
            "fax_number": "703-212-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "RN CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024157708",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "PNP0024157708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Leigh Walker I, OTR/LL
• Priscilla Wallace Oppong
• Mason Wallace
• Robin Landes Wallin, CRNP
• Kayley Brianne Walling
• Jolene Walsh, PT, MPT
• Sean Walsh, PH.D.
• Walston Health Services LLC
• Tonya L Walston, DNP
• Tisha Linn Walter, CPNP

• Pediatric Nurse Practitioner in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Pediatric Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.