MEREDITH WALSH NP NPI 1366740615

NPI Information

NPI: 1366740615
Provider Name: MEREDITH WALSH, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1350 CONCOURSE AVE STE 142
MEMPHIS, TN
ZIP 38104
Phone: (508) 852-1805
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Meredith Walsh, NP is a family nurse practitioner in Memphis, TN with 11 years of experience. Meredith Walsh, NP NPI is 1366740615. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduation Year:2013

The provider's business location address is:

1350 CONCOURSE AVE STE 142
MEMPHIS, TN
ZIP 38104-020
Phone: (508) 852-1805

The NPI 1366740615 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/10/2011 and was last updated on 5/4/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN2268731	MASSACHUSETTS	No
2	363LF0000X	Nurse Practitioner	Family	0000023092	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1301071	OTHER	MASSACHUSETTS	GROUP MEDICAID NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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