Dominique Michelle Well, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP30006054 Issued in WA

Practice address

4715 42ND Ave SW
Seattle, WA 98116-4507

Phone

(206) 265-3642

NPI assigned

Oct 26, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1003116815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 42ND AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164507",
            "telephone_number": "206-265-3642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 42ND AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164507",
            "telephone_number": "206-265-3642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELL",
        "first_name": "DOMINIQUE",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30006054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lulay Weliyo
• Richard Welk, M.D.
• Melissa B Welker
• Leyla Ruth Brown Welkin Haksar, PHD LMHC
• Well Rooted Healing, LLC
• Janet M Welle, ARNP
• Heidi Wellenstein, MD
• Erika Faith Weller
• Mariana Leigh Weller, MSW
• Richard Davis Weller, M.D.

• Family Nurse Practitioner in Seattle, WA
• Providers in Seattle, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.