Active NPI
Donna Marie Walsworth, RN, BSN
- Registered Nurse
- Mount Morris, NY
National Provider Identifier
1730556044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 205901
- Practice address
- 27 Lackawanna Ave
Mount Morris, NY 14510-1001 - Phone
- (585) 658-7811
- Fax
- (585) 658-7860
- NPI assigned
- Aug 24, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 205901 | NY | Primary |
Addresses
Primary practice location
27 Lackawanna Ave
Mount Morris, NY 14510-1001
Mailing address
16 South Church St
P O Box 194
Nunda, NY 14517
Phone (585) 468-5799
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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205901 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440374400000",
"number": "1730556044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 SOUTH CHURCH ST",
"address_2": "P O BOX 194",
"city": "NUNDA",
"state": "NY",
"postal_code": "14517",
"telephone_number": "585-468-5799",
"fax_number": "585-658-7860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 LACKAWANNA AVE",
"city": "MOUNT MORRIS",
"state": "NY",
"postal_code": "145101001",
"telephone_number": "585-658-7811",
"fax_number": "585-658-7860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSWORTH",
"first_name": "DONNA",
"middle_name": "MARIE",
"credential": "RN, BSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-24",
"last_updated": "2015-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "205901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Morris, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.