Tisha Linn Walter, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

0024197661 Issued in VA

Practice address

7015C Manchester Blvd
Alexandria, VA 22310-3420

Phone

(703) 971-6900

NPI assigned

Jul 20, 2020

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

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: tisha.walter@tpgp.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Trusted Doctors LLC

  • Pediatrics Physician
  • Fairfax, VA
  • NPI 1083793525
  NPD (past)

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1881202505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3914 CENTREVILLE RD STE 225",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201513045",
            "telephone_number": "703-956-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7015C MANCHESTER BLVD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103420",
            "telephone_number": "703-971-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "TISHA",
        "middle_name": "LINN",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024197661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer M Walsh, RN CPNP
• Jolene Walsh, PT, MPT
• Sean Walsh, PH.D.
• Walston Health Services LLC
• Tonya L Walston, DNP
• Walters Burns, M.D., P.C.
• Linda T Walters, NP
• Jasmine Denise Walton Norwood
• Rebecca Walton
• Samantha Elizabeth Waltrip

• Pediatric Nurse Practitioner in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Pediatric Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.