Active NPI
Jill McElligott Welch, LM CPM
- Midwife
- Quincy, FL
National Provider Identifier
1033399951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MW134
- Practice address
- 152 Winding Creek Rd
Quincy, FL 32351 - Phone
- (850) 443-2953
- NPI assigned
- Nov 8, 2007
- 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 |
|---|---|---|---|---|
| Midwife | 176B00000X | MW134 | FL | Primary |
Addresses
Primary practice location
152 Winding Creek Rd
Quincy, FL 32351
Mailing address
PO Box 3422
Tallahassee, FL 32315
Phone (850) 443-2953
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340451000 | Medicaid | FL |
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 |
|---|---|---|---|
| MW134 | FL | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194480000000",
"number": "1033399951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3422",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "32315",
"telephone_number": "850-443-2953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 WINDING CREEK RD",
"city": "QUINCY",
"state": "FL",
"postal_code": "32351",
"telephone_number": "850-443-2953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "JILL",
"middle_name": "MCELLIGOTT",
"name_prefix": "Ms.",
"credential": "LM CPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-08",
"last_updated": "2007-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "FL",
"license": "MW134",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "340451000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Quincy, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.