Individual provider Active NPI

Elizabeth Walsh, CPNP

  • Nurse Practitioner
  • Salem, MA
National Provider Identifier
1477006906
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2273403 Issued in MA
Practice address
84 Highland Ave
Salem, MA 01970-2727
Phone
(978) 745-3050
Fax
(978) 745-7014
NPI assigned
Aug 2, 2016
Last updated
Jan 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2273403 MA Primary

Addresses

Primary practice location

84 Highland Ave
Salem, MA 01970-2727

Mailing address

84 Highland Ave
Salem, MA 01970-2727
Phone (978) 745-3050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2273403MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Associates of Greater Salem, Inc CurrentSince Apr 10, 2022 Accepting new patients

Locations

30 Tozer Rd
Beverly, MA 01915
Phone (978) 712-1100

30 Tozer Rd
Fl 1
Beverly, MA 01915

30 Tozer Rd
Ste 101
Beverly, MA 01915
Phone (978) 745-3050

84 Highland Ave
Ste 310
Salem, MA 01970
Phone (781) 420-1845

376 Boston St
Ste 201
Topsfield, MA 01983

Interoperability endpoints

  • Direct secure messaging: elizabeth.cullinan.walsh.1@2804.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/2804/brand/1/csg/1/fhir/r4
  • Direct secure messaging: walsh.elizabeth.pags@direct.partners.masshiway.net

Organizations & group practices 1

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": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1477006906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 HIGHLAND AVE",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702727",
            "telephone_number": "978-745-3050",
            "fax_number": "978-745-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 HIGHLAND AVE",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702727",
            "telephone_number": "978-745-3050",
            "fax_number": "978-745-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "ELIZABETH",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2273403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.