KEVIN M WALSH (NPI# 1538210323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538210323 |
| Entity Type | Individual |
| Full Name | KEVIN M WALSH |
| Credential | ARNP |
| Practice Address |
9040 Reid St Tacoma WA 98431-1100 |
| Practice Telephone | 2539682252 |
| Practice Fax Number | 2539683278 |
| Mailing Telephone | 2539682252 |
| Mailing Fax Number | 2539683278 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP30006690 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356419345 | Kevin Michael Walsh | Social Worker | 41-51 East 11th Street, 4th Floor, New York, NY 10003 | 2006-11-30 |
| 1346336302 | Kevin Patrick Walsh | Counselor | 2414 Park Ave, Minneapolis, MN 55404-3713 | 2006-10-05 |
| 1649214438 | Kevin Walsh | Physician Assistant | Saint Barnabas Medical Center, Old Short Hills Road, Livingston, NJ 07039 | 2006-06-15 |
| 1922561075 | Kevin Cunningham Walsh | Student in an Organized Health Care Education/Training Program | 750 E Adams St, Syracuse, NY 13210-2306 | 2019-04-06 |
| 1679035414 | Kevin Patrick Walsh | Student in an Organized Health Care Education/Training Program | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-04-02 |
| 1326508656 | Kevin William Walsh | Student in an Organized Health Care Education/Training Program | 501 W 14th St, Wilmington, DE 19801-1013 | 2019-03-22 |
| 1750773339 | Kevin Walsh | Registered Nurse | 625 W Washington Ave, Madison, WI 53703-2637 | 2015-02-19 |
| 1285058883 | Kevin Walsh | Pharmacist | 901 S State Rd, Davison, MI 48423-1721 | 2014-02-18 |
| 1982042073 | Kevin Michael Walsh | Nurse Practitioner | 11100 Euclid Ave, Lt 9001, Cleveland, OH 44106-1716 | 2013-06-11 |
| 1508200429 | Kevin Martin Walsh | Pediatrics | 747 52nd St, Room 245, Oakland, CA 94609-1809 | 2013-04-22 |
| Street Address |
9040 REID ST |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881671170 | Roger K Yabu | Pharmacist | 9040 Reid St, Tacoma, WA 98431-1100 | 2005-12-28 |
| 1407241763 | Sofiya Nukalo | Student in an Organized Health Care Education/Training Program | 9040 Reid St, Madigan Army Medical Center, Tacoma, WA 98431-1100 | 2015-04-03 |
| 1588993968 | Wendy Robin Cruz | Pharmacist | 9040 Reid St, Tacoma, WA 98431-1100 | 2009-12-15 |
| 1841428646 | Eileen Owen-williams | Nurse Practitioner | 9040 Reid St, Tacoma, WA 98431-1100 | 2009-06-30 |
| 1598992927 | Deborah R Judkins | Counselor | 9040 Reid St, Tacoma, WA 98431-1100 | 2009-06-11 |
| 1407001837 | Michael Cleary | Social Worker | 9040 Reid St, Tacoma, WA 98431-1100 | 2008-11-26 |
| 1255586889 | Brent C Olson | Physician Assistant | 9040 Reid St, Tacoma, WA 98431-1100 | 2008-11-24 |
| 1467604892 | Martha A Smith | Dietitian, Registered | 9040 Reid St, Tacoma, WA 98431-1100 | 2008-10-16 |
| 1285899849 | Christina Marieke Long | Pediatrics | 9040 Reid St, Tacoma, WA 98431-1100 | 2008-07-23 |
| 1225292758 | Madigan Army Medical Center | Military Hospital | 9040 Reid St, Tacoma, WA 98431-1100 | 2008-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255944278 | Alexis Leanne Snyder | Nurse Practitioner | 717 S 51st St, Tacoma, WA 98408-5710 | 2020-08-28 |
| 1033755699 | Maryam Roya Jalili | Nurse Practitioner | 12180 Park Ave S Tacoma Wa 98447, Tacoma, WA 98447-0001 | 2019-11-19 |
| 1003467127 | Salome Odja Dockendorf | Nurse Practitioner | 1201 Pacific Ave Ste 19501201, Tacoma, WA 98402-4301 | 2019-09-20 |
| 1962064469 | Latoya Tia Marie Veliz | Nurse Practitioner | 2621 170th Street Ct E, Tacoma, WA 98445-7328 | 2019-07-03 |
| 1033629571 | Matthew Alexander Watson | Nurse Practitioner | 9040 Jackson Ave Jay Clinic Jay Clinic, Tacoma, WA 98431-4712 | 2017-10-11 |
| 1396255972 | Julie Ann Sunada | Nurse Practitioner | 2505 S 38th St Ste 109, Tacoma, WA 98409 | 2017-10-09 |
| 1376081836 | Baby Nellie Tamayo | Nurse Practitioner | 10021 12th Ave S, Tacoma, WA 98444-4106 | 2017-02-05 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1508273590 | Mallory Louise Pursley | Nurse Practitioner | 1608 South J Street, 3rd Floor, Tacoma, WA 98405 | 2014-07-22 |
| 1932539137 | Nandi Brumidge | Nurse Practitioner | 1498 Pacific Ave Ste 400, Tacoma, WA 98402-4208 | 2013-11-25 |
| Find all providers in TACOMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.