Active NPI
Sheryl Lynn Welch
- Licensed Practical Nurse
- Malvern, AR
National Provider Identifier
1104337146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- NURP6588
- Practice address
- 14312 Highway 9
Malvern, AR 72104-5880 - Phone
- (501) 467-5090
- NPI assigned
- Oct 17, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | NURP6588 | AK | Primary |
| Licensed Practical Nurse | 164W00000X | 21441 | HI | |
| Licensed Practical Nurse | 164W00000X | L048928 | AR |
Addresses
Primary practice location
14312 Highway 9
Malvern, AR 72104-5880
Mailing address
14312 Highway 9
Malvern, AR 72104-5880
Other practice location 1
237 W Rockwell Ave
Soldotna, AK 99669-7412
Phone (888) 353-7574
Other practice location 2
4000 Old Seward Hwy Ste 300
Anchorage, AK 99503-6079
Phone (907) 770-0862
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 |
|---|---|---|---|
| NURP6588 | AK | MD | Licensed Practical Nurse |
| L048928 | AR | MD | Licensed Practical Nurse |
| 21441 | HI | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773187200000",
"number": "1104337146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14312 HIGHWAY 9",
"city": "MALVERN",
"state": "AR",
"postal_code": "721045880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14312 HIGHWAY 9",
"city": "MALVERN",
"state": "AR",
"postal_code": "721045880",
"telephone_number": "501-467-5090"
}
],
"practiceLocations": [
{
"address_1": "237 W Rockwell Ave",
"address_purpose": "LOCATION",
"city": "Soldotna",
"state": "AK",
"postal_code": "996697412",
"country_code": "US",
"telephone_number": "888-353-7574",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4000 Old Seward Hwy Ste 300",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "995036079",
"country_code": "US",
"telephone_number": "907-770-0862",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WELCH",
"first_name": "SHERYL",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-17",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "AK",
"license": "NURP6588",
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "HI",
"license": "21441",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "AR",
"license": "L048928",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Malvern, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.