Active NPI
Jewel B Welch, CRNAP
- Certified Registered Nurse Anesthetist
- Johnson City, TN
National Provider Identifier
1043267586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024065100
- Practice address
- 1009 Novus Dr
Johnson City, TN 37604-8236 - Phone
- (423) 283-0776
- NPI assigned
- May 30, 2006
- Last updated
- Jul 27, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0024065100 | VA | Primary |
Addresses
Primary practice location
1009 Novus Dr
Johnson City, TN 37604-8236
Mailing address
1009 Novus Dr
Johnson City, TN 37604-8236
Phone (423) 283-0776
Other practice location 1
320 Hospital Dr
Martinsville, VA 24112-1900
Phone (276) 732-4109
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010087708 | Medicaid | VA | |
| 7100034030 | Medicaid | KY |
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)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loudoun Anesthesia Associates | Past | Accepting new patients | |
| Inderjit Singh MD PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urology Physician
- Woodbridge, VA
- NPI 1801812847
-
- Anesthesiology Physician
- Potomac Falls, VA
- NPI 1629017645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627344000000",
"number": "1043267586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 NOVUS DR",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376048236",
"telephone_number": "423-283-0776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 NOVUS DR",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376048236",
"telephone_number": "423-283-0776"
}
],
"practiceLocations": [
{
"address_1": "320 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Martinsville",
"state": "VA",
"postal_code": "241121900",
"country_code": "US",
"telephone_number": "276-732-4109",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WELCH",
"first_name": "JEWEL",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "CRNAP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-30",
"last_updated": "2021-07-27",
"certification_date": "2021-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024065100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010087708",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100034030",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
- Donna Weinman, R.PH.
- Nonie Elizabeth Weir, BSN
- Kara Beth Weishaar, MD
- Christopher Eli Welch, MD
- David Brent Welch, M.D.
- Wellmont Medical Associates, Inc. (Ballad Health Medical Associates)
- Wellmont Medical Associates, Inc. (Ballad Health Medical Associates)
- Wellmont Medical Associates, Inc. (Ballad Health Imaging Center, Johnson City)
- Courtney Wells Currier
- Debbie Wells-Good, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.