Individual provider Active NPI

Lisa Walsh, CNM

  • Advanced Practice Midwife
  • Haverhill, MA
National Provider Identifier
1972644771
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
138882 Issued in MA
Practice address
600 Primrose St Ste 202
Haverhill, MA 01830-2659
Phone
(978) 556-1000
Fax
(978) 556-0094
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 138882 MA Primary

Addresses

Primary practice location

600 Primrose St Ste 202
Haverhill, MA 01830-2659

Mailing address

24 Morrill PL Ste 2
Amesbury, MA 01913-3530
Phone (978) 834-8074

Other identifiers 2

IdentifierTypeStateIssuer
0377520MedicaidMA
30342192MedicaidNH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lisa.walsh@whcsagp.eclinicaldirectplus.com Direct Seacoast Affiliated Group Practice, Inc.

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
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
138882MAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Anna Jaques Hospital PastSince Jun 15, 2021 Accepting new patients
Newburyport Cardiovascular Associates, LLC PastSince Sep 18, 2016 Accepting new patients
River Valley Infectious Disease Specialists Inc. Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1972644771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MORRILL PL STE 2",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019133530",
            "telephone_number": "978-834-8074",
            "fax_number": "978-834-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PRIMROSE ST STE 202",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018302659",
            "telephone_number": "978-556-1000",
            "fax_number": "978-556-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "LISA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MA",
            "license": "138882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0377520",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30342192",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisa.walsh@whcsagp.eclinicaldirectplus.com",
            "affiliation": "Y",
            "endpointDescription": "SAGP Women's Healthcare eClinicalWorks",
            "affiliationName": "Seacoast Affiliated Group Practice, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "600 Primrose St Ste 202",
            "city": "Haverhill",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018302659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Haverhill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.