Active NPI
Carol A Walsh, FNP
- Family Nurse Practitioner
- Orlando, FL
National Provider Identifier
1861412090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9407305
- Practice address
- 2702 S Orange Ave
Orlando, FL 32806-5402 - Phone
- (617) 833-8872
- NPI assigned
- Jul 20, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9407305 | FL | Primary |
Addresses
Primary practice location
2702 S Orange Ave
Orlando, FL 32806-5402
Mailing address
21034 Royal St Georges LN
Leesburg, FL 34748-7758
Phone (617) 833-8872
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9407305 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446768000000",
"number": "1861412090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21034 ROYAL ST GEORGES LN",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347487758",
"telephone_number": "617-833-8872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2702 S ORANGE AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328065402",
"telephone_number": "617-833-8872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "CAROL",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2015-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9407305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.