Active NPI
Maria Cristina Walsh, REGISTERED NURSE
- Registered Nurse
- Lakewood, WA
National Provider Identifier
1912477001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN60018340
- Practice address
- 12530 Vine Maple Dr SW
Lakewood, WA 98499-1134 - Phone
- (253) 301-0099
- Fax
- (253) 235-3645
- NPI assigned
- Nov 30, 2018
- Last updated
- Nov 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN60018340 | WA | Primary |
Addresses
Primary practice location
12530 Vine Maple Dr SW
Lakewood, WA 98499-1134
Mailing address
3820 Campus Park Dr NE
Lacey, WA 98516-3901
Phone (360) 464-5896
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 |
|---|---|---|---|
| RN60018340 | WA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vine Maple Care Home LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adult Care Home Facility
- Lakewood, WA
- NPI 1154891224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543536000000",
"number": "1912477001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3820 CAMPUS PARK DR NE",
"city": "LACEY",
"state": "WA",
"postal_code": "985163901",
"telephone_number": "360-464-5896",
"fax_number": "253-235-3645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12530 VINE MAPLE DR SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984991134",
"telephone_number": "253-301-0099",
"fax_number": "253-235-3645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "MARIA CRISTINA",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-30",
"last_updated": "2018-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60018340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.