Active NPI
Amy Lauren Lantrip Walsh, ARNP
- Family Nurse Practitioner
- Hillsborough, NC
National Provider Identifier
1518918192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9178930
- Practice address
- 210 S Cameron St
Hillsborough, NC 27278-2505 - Phone
- (919) 732-9311
- Fax
- (919) 732-9315
- NPI assigned
- May 16, 2006
- Last updated
- Aug 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9178930 | FL | Primary |
| Emergency Medicine Physician | 207P00000X | ARNP9178930 | FL |
Addresses
Primary practice location
210 S Cameron St
Hillsborough, NC 27278-2505
Mailing address
2000 Perimeter Park Dr Ste 200
Morrisville, NC 27560-8442
Other practice location 1
1515 US Highway 1
Suite 204
Sebastian, FL 32958-1612
Phone (772) 388-1161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 304105100 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | awalsh588227@direct.UNC.nchie.net | Direct |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Interoperability endpoints
- awalsh588227@direct.unc.nchie.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629417600000",
"number": "1518918192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 PERIMETER PARK DR STE 200",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275608442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 S CAMERON ST",
"city": "HILLSBOROUGH",
"state": "NC",
"postal_code": "272782505",
"telephone_number": "919-732-9311",
"fax_number": "919-732-9315"
}
],
"practiceLocations": [
{
"address_1": "1515 US Highway 1",
"address_2": "Suite 204",
"address_purpose": "LOCATION",
"city": "Sebastian",
"state": "FL",
"postal_code": "329581612",
"country_code": "US",
"telephone_number": "772-388-1161",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALSH",
"first_name": "AMY",
"middle_name": "LAUREN LANTRIP",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2021-08-20",
"certification_date": "2021-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9178930",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ARNP9178930",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "304105100",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "awalsh588227@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "210 S Cameron St",
"city": "Hillsborough",
"state": "NC",
"country_code": "US",
"postal_code": "272782505",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hillsborough, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.