ALICIA S WALSH (NPI# 1235221672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235221672 |
| Entity Type | Individual |
| Full Name | ALICIA S WALSH |
| Credential | APRN CPNP |
| Practice Address |
92 New London Turnpike Norwich CT 06360 |
| Practice Telephone | 8608893401 |
| Practice Fax Number | 8608231782 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
002631 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HUSKY B | 230002361CT01 | 01 | |
| ANTHEM BLUE CROSS | 400002631CT01 | 01 | |
| OXFORD UNITED HEALTHCARE | P3599013 | 01 | |
| CONNECTICARE | 026310 | 01 | |
| BLUECARE FAMILY PLAN | 230002361CT01 | 01 | |
| HEALTHNET | 2V6241 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639506074 | Alicia Walsh | Speech-Language Pathologist | 3427 Goni Rd Ste 104, Carson City, NV 89706-7972 | 2013-09-30 |
| 1962638387 | Alicia Walsh | Marriage & Family Therapist | 1545 Hotel Circle South, Suite 300, San Diego, CA 92108 | 2009-06-01 |
| 1871507012 | Alicia Ann Walsh | Obstetrics & Gynecology | 915 Tate Blvd Se, Suite 170, Hickory, NC 28602-4042 | 2006-07-27 |
| Street Address |
92 NEW LONDON TURNPIKE |
| City | NORWICH |
| State | CT |
| Zip Code | 06360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
| Find all providers in zip 06360 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447878855 | Ashley Elusma | Nurse Practitioner | 92 New London Tpke # 1, Norwich, CT 06360-2616 | 2020-07-13 |
| 1598362725 | Marygrace Brogioli | Nurse Practitioner | 92 New London Tpke # 1, Norwich, CT 06360-2616 | 2020-10-01 |
| 1629429832 | Rachel Jadczak | Nurse Practitioner | 34 E Town St, Norwich, CT 06360-2317 | 2016-06-29 |
| 1326130766 | Pamela Sieber Kolp | Nurse Practitioner | 92 New London Tpke, Norwich, CT 06360 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382792 | Jessca Morcone | Nurse Practitioner | 640 Brookside Dr, Fairfield, CT 06824-2419 | 2019-12-04 |
| 1790337137 | Elizabeth R Renker | Nurse Practitioner | 97 Barnes Rd Ste 6, Wallingford, CT 06492-1885 | 2019-07-16 |
| 1508347162 | Bright Futures Wellness Center, LLC | Nurse Practitioner | 422-426 Highland Avenue, Cheshire, CT 06410 | 2018-08-22 |
| 1487180840 | Meghan Mccarthy Warzoha | Nurse Practitioner | 2001 W Main St Ste 132, Stamford, CT 06902-4544 | 2017-05-04 |
| 1891179537 | Heather Deal | Nurse Practitioner | 347 Hartford Turnpike, Vernon, CT 06066 | 2015-07-13 |
| 1083020051 | Douglas Mccoy | Nurse Practitioner | 46 Albion St., Bridgeport, CT 06605 | 2014-07-10 |
| 1740602515 | Smart Start Pediatrics | Nurse Practitioner | 27 Sycamore St., Suite 300, Glastonbury, CT 06033 | 2014-01-14 |
| 1780013102 | Elizabeth Anavy | Nurse Practitioner | 195 Hillandale Ave, Stamford, CT 06902-2823 | 2013-11-06 |
| 1174951669 | Bela Kirit Dharia | Nurse Practitioner | 55 Lock Street, Yale Health, New Haven, CT 06511-3603 | 2013-10-22 |
| 1679908925 | Christine M Turcotte | Nurse Practitioner | 21b Liberty Dr, Hebron, CT 06248 | 2013-09-05 |
| Find all providers with the same taxonomy | ||||
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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.