Individual provider Active NPI

Kaitlyn Nicole Walsh, NP

  • Family Nurse Practitioner
  • Albany, NY
National Provider Identifier
1447844428
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F347265 Issued in NY
Practice address
7 Southwoods Blvd - Attn: Credentials
Albany, NY 12211
Phone
(518) 292-6000
Fax
(518) 292-6087
NPI assigned
Feb 22, 2021
Last updated
Feb 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F347265 NY Primary

Addresses

Primary practice location

7 Southwoods Blvd - Attn: Credentials
Albany, NY 12211

Mailing address

7 Southwoods Blvd - Attn: Credentials
Albany, NY 12211
Phone (518) 292-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20210514001503 NY Practitioner - Nurse Practitioner 3476962838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Cardiology Associates PLLCGroup PAC ID 1254228240, 72 clinicians

Practice addresses (Care Compare)

7 Southwoods Blvd
Albany, NY 12211-2514
Phone (518) 292-6000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F347265NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Cardiology Associates PLLC CurrentSince Mar 29, 2021 Accepting new patients
Burdett Orthopedics, PC PastSince Mar 1, 2010 Accepting new patients

Locations

7 Southwoods Blvd
Albany, NY 12211
Phone (518) 292-6060

7 Southwoods Blvd
Ste 4
Albany, NY 12211

1785 Route 9
Ste 202
Halfmoon, NY 12065

1769 Union St
Ste 2
Niskayuna, NY 12309
Phone (518) 382-1151

2200 Burdett Ave
Ste 202
Troy, NY 12180
Phone (518) 272-0122

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1447844428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SOUTHWOODS BLVD - ATTN: CREDENTIALS",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12211",
            "telephone_number": "518-292-6000",
            "fax_number": "518-292-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SOUTHWOODS BLVD - ATTN: CREDENTIALS",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12211",
            "telephone_number": "518-292-6000",
            "fax_number": "518-292-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "KAITLYN",
        "middle_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F347265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.