Active NPI
Laura Lynn Welzel
- Environmental Modification Occupational Therapy Assistant
- Wilmington, NC
National Provider Identifier
1013396753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Environmental Modification Occupational Therapy Assistant
- License
- OTA 14193
- Practice address
- 429 Stonewall Jackson Dr
Wilmington, NC 28412-6629 - Phone
- (910) 269-6540
- NPI assigned
- May 27, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Environmental Modification Occupational Therapy Assistant | 224ZE0001X | OTA 14193 | FL | Primary |
Addresses
Primary practice location
429 Stonewall Jackson Dr
Wilmington, NC 28412-6629
Mailing address
429 Stonewall Jackson Dr
Wilmington, NC 28412-6629
Phone (910) 269-6540
Other names 1
- Miss Laura Lynn Ruffell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA 14193 | FL | MD | Environmental Modification Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432684800000",
"number": "1013396753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 STONEWALL JACKSON DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284126629",
"telephone_number": "910-269-6540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "429 STONEWALL JACKSON DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284126629",
"telephone_number": "910-269-6540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELZEL",
"first_name": "LAURA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-27",
"last_updated": "2015-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "224ZE0001X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant, Environmental Modification",
"state": "FL",
"license": "OTA 14193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "RUFFELL",
"middle_name": "LYNN",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.