Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SHANNON WALSH FNP-C
NPI 1689572497
Nurse Practitioner in Newark, NJ

Q: What is Shannon Walsh's NPI number?

The NPI number for Shannon Walsh is 1689572497. It was assigned to this individual provider in the NPPES registry on October 30, 2026.

Q: What is Shannon Walsh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Walsh was last updated on October 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 30, 2026

150 BERGEN ST, NEWARK, NJ 07103(973) 972-4300 Get Directions Write a Review

NPPES record added: October 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Shannon Walsh Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON WALSH FNP-C (NPI 1689572497) is an individual nurse practitioner in Newark, New Jersey, licensed in New Jersey (26NJ15694000) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1689572497

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSHANNON WALSHCredential: FNP-C

Location Address150 BERGEN STNewark, NJ 07103-2496

Mailing Address150 Bergen StNewark, NJ 07103-2496 · (973) 972-4300

Phone(973) 972-4300

Sole ProprietorNo

Enumeration DateOctober 30, 2026

NPPES CertifiedOctober 30, 2026

✔ NPI 1689572497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NJ · 26NJ15694000

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

150 BERGEN ST, Newark, NJ 07103

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ARIEL LIPPA, LPC, LCADC, NCC.

Counselor (Professional)