Jared Walsh, RN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

920795 Issued in TX

Practice address

33003 Greenfield Forest Dr
Magnolia, TX 77354-2594

Phone

(281) 682-6082

NPI assigned

Jul 13, 2018

Sex

Male

Sole proprietor

No

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1679059596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10325 CYPRESSWOOD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770703416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33003 GREENFIELD FOREST DR",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542594",
            "telephone_number": "281-682-6082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "JARED",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "TX",
            "license": "920795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Cassandra Walker
• Karen Walker
• Robin Wallace, LPC-A
• Janae N Walsh, FNP-C
• Rebecca Walters, NP
• Allison Jane Walworth, DO
• Shelly J Ward, PAC
• Tiffany Ann Washington
• Paul V Watson, M.D.

• Pediatric Registered Nurse in Magnolia, TX
• Providers in Magnolia, TX by specialty
• Pediatric Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.