Casey James Welk, AGNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95008842 Issued in CA

Practice address

9201 W Sunset Blvd Ste 812
Los Angeles, CA 90069-3709

Phone

(310) 550-1010

NPI assigned

May 10, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: caseywelk@scmmg.allscriptsdirect.net

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.

• Men's Health Foundation

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1356889836
  NPD

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1083104582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1263 N FLORES ST APT H2",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900692973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 W SUNSET BLVD STE 812",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900693709",
            "telephone_number": "310-550-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELK",
        "first_name": "CASEY",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95008842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Welchhance
• Welcome Home Care Services LLC
• Rahwa Gebrihiwet Weldeselase
• Dashawn Weldon
• Edward Joseph Weldon IV
• Welkin Health Care
• Well
• Well Being Q Acupuncturist Inc (Padong Hanbang)
• Well Being Touch Center
• Well Centre Hospice Care, Inc.

• Primary Care Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.