Individual provider Active NPI

Sheryl Lynn Welch

  • Licensed Practical Nurse
  • Malvern, AR
National Provider Identifier
1104337146
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
NURP6588 Issued in AK
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

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
NURP6588AKMDLicensed Practical Nurse
L048928ARMDLicensed Practical Nurse
21441HIMDLicensed 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.

Verify at the official NPI Registry.