Active NPI
Karen Elysbeth Walsh, OTR
- Specialist
- Jacksonville, FL
National Provider Identifier
1851558373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- FL OT 4808
- Practice address
- 10800 Old Saint Augustine Rd
Ste 103
Jacksonville, FL 32257-1081 - Phone
- (904) 463-1565
- NPI assigned
- May 21, 2008
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | FL OT 4808 | FL | Primary |
Addresses
Primary practice location
10800 Old Saint Augustine Rd
Ste 103
Jacksonville, FL 32257-1081
Mailing address
10800 Old Saint Augustine Rd
Ste 103
Jacksonville, FL 32257-1081
Phone (904) 463-1565
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 |
|---|---|---|---|
| FL OT 4808 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211328000000",
"number": "1851558373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10800 OLD SAINT AUGUSTINE RD",
"address_2": "STE 103",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322571081",
"telephone_number": "904-463-1565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10800 OLD SAINT AUGUSTINE RD",
"address_2": "STE 103",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322571081",
"telephone_number": "904-463-1565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "KAREN",
"middle_name": "ELYSBETH",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-21",
"last_updated": "2008-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "FL OT 4808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.