Individual provider Active NPI

Judith A Walsh, RNC NP

  • Nurse Practitioner
  • Boston, MA
National Provider Identifier
1407870785
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN133482 Issued in MA
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

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
J08787OtherMABLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070405000118 MA Practitioner - Nurse Practitioner 8527162262 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
133482MAMDOrthopedic Registered Nurse
RN133482MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Newton-Wellesley Hospital Current Accepting new patients
Mass General Brigham Medical Group Suburban Massachusetts Inc CurrentSince Jul 19, 2011 Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Apr 1, 2024 Accepting new patients
The General Hospital Corporation CurrentSince May 12, 2024 Accepting new patients
Meeks & Zilberfarb Orthopedic Associates, P.C. PastSince Jun 14, 1994 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.