Active NPI
Judith A Walsh, RNC NP
- Nurse Practitioner
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN133482
- Practice address
- 55 Fruit St
Boston, MA 02114-2621 - Phone
- (617) 726-8575
- NPI assigned
- Jul 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Registered Nurse | 163WX0800X | 133482 | MA | |
| Nurse Practitioner | 363L00000X | RN133482 | MA | Primary |
Addresses
Primary practice location
55 Fruit St
Boston, MA 02114-2621
Mailing address
2014 Washington
Kaplan Joint Center Green 361 Newton Wellesley Hospital
Newton, MA 02462
Phone (617) 243-5155
Other practice location 1
1101 Beacon Street
Suite 5W
Brookline, MD 02446
Phone (617) 232-2663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J08787 | Other | MA | BLUE CROSS/BLUE SHEILD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 133482 | MA | MD | Orthopedic Registered Nurse |
| RN133482 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newton-Wellesley Hospital | Current | Accepting new patients | |
| Mass General Brigham Medical Group Suburban Massachusetts Inc | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Current | Accepting new patients | |
| The General Hospital Corporation | Current | Accepting new patients | |
| Meeks & Zilberfarb Orthopedic Associates, P.C. | Past | Accepting new patients |
Locations
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
55 Fruit St
Boston, MA 02114
2000 Washington St
Ste 361
Newton Lower Falls, MA 02462
Phone (617) 243-5155
2000 Washington St
Newtonville, MA 02462
Phone (617) 243-6000
2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000
9 Hope Ave
Waltham, MA 02453
Phone (617) 243-5590
Interoperability endpoints
- walsh.judithann.nwh@direct.partners.masshiway.net
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Newton, MA
- NPI 1538191218
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- General Acute Care Hospital
- Newton, MA
- NPI 1992737761
-
- Specialist
- Brookline, MA
- NPI 1538183637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706572800000",
"number": "1407870785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2014 WASHINGTON",
"address_2": "KAPLAN JOINT CENTER GREEN 361 NEWTON WELLESLEY HOSPITAL",
"city": "NEWTON",
"state": "MA",
"postal_code": "02462",
"telephone_number": "617-243-5155",
"fax_number": "617-243-5090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142621",
"telephone_number": "617-726-8575"
}
],
"practiceLocations": [
{
"address_1": "1101 Beacon Street",
"address_2": "Suite 5W",
"address_purpose": "LOCATION",
"city": "Brookline",
"state": "MD",
"postal_code": "02446",
"country_code": "US",
"telephone_number": "617-232-2663",
"fax_number": "617-232-6342",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALSH",
"first_name": "JUDITH",
"middle_name": "A",
"credential": "RNC NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "163WX0800X",
"taxonomy_group": "",
"desc": "Registered Nurse, Orthopedic",
"state": "MA",
"license": "133482",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN133482",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHEILD",
"identifier": "J08787",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.