Active NPI
Laurie A Walsh, N.P.
- Pediatric Nurse Practitioner
- Penfield, NY
National Provider Identifier
1841269032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 380316
- Practice address
- 2067 Fairport Nine Mile PT Rd
Penfield, NY 14526-1753 - Phone
- (585) 922-0460
- Fax
- (585) 922-0470
- NPI assigned
- Mar 17, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 380316 | NY | Primary |
Addresses
Primary practice location
2067 Fairport Nine Mile PT Rd
Penfield, NY 14526-1753
Mailing address
2067 Fairport Nine Mile PT Rd
Penfield, NY 14526-1753
Phone (585) 922-0460
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lwalsh7820@direct.rochesterregional.org |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Interoperability endpoints
- lwalsh7820@direct.rochesterregional.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1841269032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2067 FAIRPORT NINE MILE PT RD",
"city": "PENFIELD",
"state": "NY",
"postal_code": "145261753",
"telephone_number": "585-922-0460",
"fax_number": "585-922-0470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2067 FAIRPORT NINE MILE PT RD",
"city": "PENFIELD",
"state": "NY",
"postal_code": "145261753",
"telephone_number": "585-922-0460",
"fax_number": "585-922-0470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "LAURIE",
"middle_name": "A",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-17",
"last_updated": "2021-05-11",
"certification_date": "2021-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "380316",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lwalsh7820@direct.rochesterregional.org",
"affiliation": "N",
"address_1": "2067 Fairport Nine Mile Pt Rd",
"city": "Penfield",
"state": "NY",
"country_code": "US",
"postal_code": "145261753",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Penfield, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.