Active NPI
Megan Christine Walsh
- Behavior Technician
- Shreveport, LA
National Provider Identifier
1689253494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- R-11672
- Practice address
- 9403 Mansfield Rd
Shreveport, LA 71118-3815 - Phone
- (318) 861-8938
- NPI assigned
- Apr 7, 2021
- Reactivated
- Oct 13, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | R-11672 | LA | Primary |
Addresses
Primary practice location
9403 Mansfield Rd
Shreveport, LA 71118-3815
Mailing address
9403 Mansfield Rd
Shreveport, LA 71118-3815
Phone (318) 861-8938
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-11672 | LA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697155200000",
"number": "1689253494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9403 MANSFIELD RD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711183815",
"telephone_number": "318-861-8938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9403 MANSFIELD RD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711183815",
"telephone_number": "318-861-8938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "MEGAN",
"middle_name": "CHRISTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-07",
"last_updated": "2023-10-13",
"certification_date": "2021-04-07",
"deactivation_date": "2023-10-10",
"reactivation_date": "2023-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "LA",
"license": "R-11672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.