Coretta Walsh, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

311135 Issued in NY

Practice address

175 Ardsley Loop
19E
Brooklyn, NY 11239-1314

Phone

(917) 376-6638

NPI assigned

Feb 8, 2013

Reactivated

Aug 27, 2026

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

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1396084471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 ARDSLEY LOOP",
            "address_2": "19E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112391314",
            "telephone_number": "917-376-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 ARDSLEY LOOP",
            "address_2": "19E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112391314",
            "telephone_number": "917-376-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "CORETTA",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-08",
        "last_updated": "2026-08-27",
        "deactivation_date": "2025-02-28",
        "reactivation_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "311135",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NJ",
            "license": "26NP06904100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Walowitz, DDS
• Cheryl Walpole, LPC, LCAT, LPAT
• Elizabeth Walrath
• Allison Ruth Walsh, BCBA
• Claudia G Walsh, MS.ED
• Daniel Augustine Walsh III, LCAT
• Emily Clare Walsh, CCC-SLP
• James Patrick Walsh, M.D.
• Janine Walsh
• Kaitlyn Walsh

• Licensed Practical Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.