MRS. BONNIE LEANNE WALSH (NPI# 1548384647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548384647 |
| Entity Type | Individual |
| Full Name | MRS. BONNIE LEANNE WALSH |
| Credential | MSE, RD, LDN |
| Practice Address |
1065 Vinehaven Dr Concord NC 28025-2439 |
| Practice Telephone | 7047869181 |
| Practice Fax Number | 7047929198 |
| Mailing Telephone | 7047869181 |
| Mailing Fax Number | 7047929198 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
L001205 | NC | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | LICENSED DIETITIAN | L001205 | 01 |
| REGISTERRED DITITIAN RD | 713894 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255741609 | Bonnie Fay Walsh | Counselor | 1420 Walnut St, Suite 500, Philadelphia, PA 19102-4017 | 2014-05-06 |
| 1386874204 | Bonnie Susan Walsh | Family Medicine | 501 Airport Rd, Rifle, CO 81650-8510 | 2009-07-27 |
| 1609911189 | Bonnie J Walsh | Social Worker | 1281 Main St, South Windsor, CT 06074-2410 | 2007-02-21 |
| Street Address |
1065 VINEHAVEN DR |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-2439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871577437 | Tracy Ellen Kwitowski | Physical Therapist | 1065 Vinehaven Dr, Concord, NC 28025-2439 | 2005-12-06 |
| 1396925301 | Heather Woods Jacobs | Registered Nurse | 1065 Vinehaven Dr, Concord, NC 28025-2439 | 2007-11-07 |
| 1578773842 | Margarete Narzynski | Occupational Therapist | 1065 Vinehaven Dr, Concord, NC 28025-2439 | 2007-05-23 |
| 1346464716 | State of Nc Division of Health Services | Clinic/Center | 1065 Vinehaven Dr, Concord, NC 28025-2439 | 2007-04-13 |
| 1194849992 | Patricia Lynn Gabrielle Mitlehner | Speech-Language Pathologist | 1065 Vinehaven Dr, Concord, NC 28025-2439 | 2007-03-19 |
| 1043334618 | Kimberly Aylene Kennedy | Psychologist | 1065 Vinehaven Dr, Concord, NC 28025-2439 | 2007-03-19 |
| 1760516066 | Karen Walker Laberdia | Social Worker | 1065 Vinehaven Dr, Concord, NC 28025-2439 | 2007-03-16 |
| 1275667545 | Margaret Ann Lemelin | Speech-Language Pathologist | 1065 Vinehaven Dr, Concord, NC 28025-2439 | 2007-03-16 |
| 1366576696 | Alison Sh'ree Fuller | Audiologist | 1065 Vinehaven Dr, Concord, NC 28025-2439 | 2007-03-16 |
| 1356475685 | Julia R. Alexander | Registered Nurse | 1065 Vinehaven Dr, Concord, NC 28025-2439 | 2007-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821555160 | Angela Rutherford | Dietitian, Registered | 10207 Cerny St Ste 110, Raleigh, NC 27617-4880 | 2019-02-22 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1184027872 | Jennifer Fowler | Dietitian, Registered | 121 Arbor Dr, Washington, NC 27889-8720 | 2014-10-08 |
| 1144638495 | Shannon Ingalls Holton | Dietitian, Registered | 2403 Kay Rd, Greenville, NC 27858-9541 | 2014-07-31 |
| 1487995486 | Lisa Mire | Dietitian, Registered | 1001 Blythe Blvd Ste 601, Charlotte, NC 28203-6107 | 2013-03-15 |
| 1568768620 | Lisa D Wright | Dietitian, Registered | 649 46th Avenue Dr Ne, Hickory, NC 28601-7318 | 2011-02-07 |
| 1972670388 | Tanya Daniella Melton | Dietitian, Registered | 988 Red Stone Ct, Rougemont, NC 27572-9407 | 2006-11-29 |
| 1336190628 | Barbara Andresen | Dietitian, Registered | 3447 Robinhood Rd, Suite 209, Winston Salem, NC 27106-4791 | 2006-05-12 |
| 1548887177 | Sarah Gregory | Dietitian, Registered | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-06-30 |
| 1023655677 | Holly Hirsch | Dietitian, Registered | 1001 Blythe Blvd Ste 601, Charlotte, NC 28203-6107 | 2019-12-03 |
| 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.