Kathleen Walsh, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NN06906800 Issued in NJ

Practice address

4 Ryan Rd
Marlboro, NJ 07746-2445

Phone

(866) 389-2727

NPI assigned

Nov 16, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1649514522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 DALLENBACH LN",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165682",
            "telephone_number": "732-390-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 RYAN RD",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077462445",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-16",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NN06906800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alen Vukovic, PHARMD
• Gabriella Vulpis
• Walgreen Co
• Lisa Walker, OTR
• Elizabeth Mary Wallace, PHARMD
• Fred Wein, R.PH.
• Deborah Weinstein
• Steve Weintraub, DO
• Claudia J. Weiss, M.S.W.
• Wellhaven Homes LLC

• Family Nurse Practitioner in Marlboro, NJ
• Providers in Marlboro, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.