Individual provider Active NPI

Heather A Welch, ARNP

  • Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1063423291
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP1856642 Issued in FL
Practice address
7051 Dr Phillips Blvd
Suite 5
Orlando, FL 32819-5140
Phone
(407) 363-2000
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP1856642 FL Primary

Addresses

Primary practice location

7051 Dr Phillips Blvd
Suite 5
Orlando, FL 32819-5140

Mailing address

1368 Holly Glen Run
Apopka, FL 32703-6863
Phone (407) 873-5021

Other identifiers 3

IdentifierTypeStateIssuer
301644700MedicaidFL
259038700OtherFLMEDICAID GROUP NUMBER
24039OtherFLMEDICARE GROUP NUMBER

Other names 1

  • Mrs. Heather A Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180619002132 FL Practitioner - Nurse Practitioner 4486909256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Integrated Womens Health LLCGroup PAC ID 5597020792, 5 clinicians

Practice addresses (Care Compare)

7051 Dr Phillips Blvd
Suite 5
Orlando, FL 32819-5140
Phone (407) 363-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP1856642FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Womens Health LLC CurrentSince Feb 19, 2018 Accepting new patients
Womencare PA Past Accepting new patients

Locations

7051 Dr Phillips Blvd
Ste 5
Orlando, FL 32819
Phone (407) 363-2000

7051 Dr Phillips Blvd
Orlando, FL 32819
Phone (407) 345-9929

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIBCBD/Endpoint/GIBCBD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1063423291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1368 HOLLY GLEN RUN",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327036863",
            "telephone_number": "407-873-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7051 DR PHILLIPS BLVD",
            "address_2": "SUITE 5",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195140",
            "telephone_number": "407-363-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "HEATHER",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP1856642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301644700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP NUMBER",
            "identifier": "259038700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "24039",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "SMITH",
            "middle_name": "A",
            "prefix": "MRS.",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.