Individual provider Active NPI

Lindsay Welenc

  • Vascular Sonography Radiologic Technologist
  • Beverly, MA
National Provider Identifier
1063964427
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Sonography Radiologic TechnologistTaxonomy code 2471V0105X
License
196754 Issued in MA
Practice address
75 Herrick St
Suite110
Beverly, MA 01915-5903
Phone
(978) 922-5535
NPI assigned
Nov 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Sonography Radiologic Technologist 2471V0105X 196754 MA Primary

Addresses

Primary practice location

75 Herrick St
Suite110
Beverly, MA 01915-5903

Mailing address

75 Herrick St
Suite110
Beverly, MA 01915-5903
Phone (978) 922-5535

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

LicenseStateTypeSpecialty
196754MAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Randolph D. Maloney, M.D., PC Vascular Sonography Past Accepting new patients

Organizations & group practices 1

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": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1063964427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 HERRICK ST",
            "address_2": "SUITE110",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019155903",
            "telephone_number": "978-922-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HERRICK ST",
            "address_2": "SUITE110",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019155903",
            "telephone_number": "978-922-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELENC",
        "first_name": "LINDSAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "MA",
            "license": "196754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.