Carol Ann Walsh, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

166711LGB Issued in GA

Practice address

956 Highland View NE
Atlanta, GA 30306-3833

Phone

(404) 326-8415

NPI assigned

Jan 17, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Carol a Walsh

  • Massage Therapist
  • Atlanta, GA
  • NPI 1457892069
  NPD (past) Authorized official

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1386118941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "956 HIGHLAND VIEW NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303063833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "956 HIGHLAND VIEW NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303063833",
            "telephone_number": "404-326-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "166711LGB",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "166711LGB",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Walsh O'Sullivan, MD
• Alyson Marie Walsh, PA-C
• Blaine Jospeh Walsh, PA-C
• Brittany Walsh
• Cadie Elizabeth Walsh, FNP-C
• Christopher James Walsh, P.A.-C
• Eamonn Walsh
• Gregory Burgess Walsh, D.M.D
• Laurie Walsh, FNP
• Matthew Boyd Walsh, MMSC

• Massage Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Massage Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; 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.