Kathleen Walsh, P.N.P.

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

380978 Issued in NY

Practice address

5900 N Burdick St
East Syracuse, NY 13057-9462

Phone

(315) 656-8750

Fax

(315) 656-8493

NPI assigned

Jun 3, 2008

Last updated

Jun 3, 2008By the provider in NPPES

Sex

Female

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

State licenses

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1760641062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 N BURDICK ST",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579462",
            "telephone_number": "315-656-8750",
            "fax_number": "315-656-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 N BURDICK ST",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579462",
            "telephone_number": "315-656-8750",
            "fax_number": "315-656-8493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "KATHLEEN",
        "credential": "P.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "380978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie M Walker, PA
• Shatara Walker, M.S.T
• Shannon Walkup, PA
• Amanda Christine Wall, PT, DPT
• M Hope Wallace, LCSW
• David C Wang, MD
• Xiaofei Wang, M.D.
• Ann Margaret Washeleski, OTR/L
• Christopher Lee Watts, RPA-C
• Margaret Ann Webster, MS, CCC-SLP

• Pediatric Nurse Practitioner in East Syracuse, NY
• Providers in East Syracuse, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.