NPIMap

Individual provider Active NPI

Leah Walsh, FNP-BC

  • Nurse Practitioner
  • South Lake Tahoe, CA
National Provider Identifier
1922643386
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
825862 Issued in NV
Practice address
2170B South Ave
South Lake Tahoe, CA 96150-7026
Phone
(530) 539-6620
NPI assigned
Nov 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 825862 NV Primary

Addresses

Primary practice location

2170B South Ave
South Lake Tahoe, CA 96150-7026

Mailing address

1385 Vista LN
Carson City, NV 89703-4643
Phone (775) 884-4567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200116001145 NV Practitioner - Nurse Practitioner 7517392715 Reassigns benefits to 3 organizations
I20210611001207 CA Practitioner - Nurse Practitioner 7517392715 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Barton Medical FoundationGroup PAC ID 5395127682, 97 clinicians
Carson Valley Medical Center Rural Health ClinicGroup PAC ID 2860579984, 43 clinicians

Practice addresses (Care Compare)

2170 B S Ave
South Lake Tahoe, CA 96150-7026
Phone (530) 539-6620

897 Ironwood Dr
Minden, NV 89423-5198
Phone (775) 782-1610

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
825862NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washoe Barton Medical Clinic a Nevada Nonprofit Corporation CurrentSince Oct 29, 2025 Accepting new patients
Washoe Barton Medical Clinic a Nevada Nonprofit Corporation CurrentSince Oct 29, 2025 Accepting new patients
Washoe Barton Medical Clinic a Nevada Nonprofit Corporation Current Accepting new patients
Barton Medical Foundation CurrentSince Jan 1, 2023 Accepting new patients
Carson Valley Medical Center Rural Health Clinic CurrentSince Oct 29, 2025 Accepting new patients
Tahoe Carson Valley Medical Group Inc CurrentSince May 1, 2021 Accepting new patients
Washoe Barton Medical Clinic a Nevada Nonprofit Corporation Past Accepting new patients

Locations

2170 South Ave
Bldg B
South Lake Tahoe, CA 96150

1090 3rd St
South Lake Tahoe, CA 96150
Phone (530) 543-5660

2170 South Ave
South Lake Tahoe, CA 96150
Phone (530) 541-3420

2074 Lake Tahoe Blvd
Ste 4
South Lake Tahoe, CA 96150
Phone (530) 543-5554

2170 South Ave
#B
South Lake Tahoe, CA 96150
Phone (530) 539-6620

2201 South Ave
South Lake Tahoe, CA 96150
Phone (530) 543-5550

1516 Virginia Ranch Rd
Gardnerville, NV 89410
Phone (775) 783-3020

1520 Virginia Ranch Rd
Gardnerville, NV 89410
Phone (775) 782-1550

1107 US Highway 395 N
Gardnerville, NV 89410
Phone (775) 782-1595

897 Ironwood Dr
Minden, NV 89423
Phone (775) 364-1411

Interoperability endpoints

  • Direct secure messaging: lwalsh221050@direct.renown.org

Organizations & group practices 7

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1922643386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 VISTA LN",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034643",
            "telephone_number": "775-884-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170B SOUTH AVE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507026",
            "telephone_number": "530-539-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "LEAH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-08",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "825862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lake Tahoe, CA

Sources for this page

Verify at the official NPI Registry.