Sheila Walsh, MPH, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

704367 Issued in AZ

Practice address

1200 N Beaver St
Payer Credentialing
Flagstaff, AZ 86001-3118

Phone

(928) 213-6235

Fax

(928) 213-6292

NPI assigned

Dec 30, 2016

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1483056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1760927735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N BEAVER ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013118",
            "telephone_number": "928-213-6235",
            "fax_number": "928-213-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N BEAVER ST",
            "address_2": "PAYER CREDENTIALING",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013118",
            "telephone_number": "928-213-6235",
            "fax_number": "928-213-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "SHEILA",
        "credential": "MPH, RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-30",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "704367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104742",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Dale Wall, LCSW
• Joshua Michael Wallentin-Flores, MD
• Walmart Inc. (Walmart Pharmacy 10-1175)
• Walmart Inc. (WalMart Pharmacy 10-4252)
• Barbara Walsh, RN
• Aimee Melina Walton, CCC-SLP
• Chia-Lien Wang, M.D.
• Omar Rashid Wani, MD
• Stephen V. Ward, M.D.
• Whitney Warkentin, MS, CCC-SLP

• Registered Dietitian in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Registered Dietitian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.