Active NPI
Kellie Welch Smith, AUD
- Audiologist
- Orlando, FL
National Provider Identifier
1114367018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY1165
- Practice address
- 5201 Raymond St
Orlando, FL 32803-8208 - Phone
- (407) 629-1599
- NPI assigned
- Jun 25, 2013
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | AY1165 | FL | Primary |
| Audiologist | 231H00000X | 000748 | IA | |
| Audiologist-Hearing Aid Fitter | 237600000X | 001046 | IA |
Addresses
Primary practice location
5201 Raymond St
Orlando, FL 32803-8208
Mailing address
1689 Chatfield PL Apt 103
Orlando, FL 32814-6626
Phone (407) 730-4411
Other names 1
- Kellie Michelle Welch
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 |
|---|---|---|---|
| AY1165 | FL | MD | Audiologist |
| 000748 | IA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372118400000",
"number": "1114367018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1689 CHATFIELD PL APT 103",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328146626",
"telephone_number": "407-730-4411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 RAYMOND ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328038208",
"telephone_number": "407-629-1599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KELLIE",
"middle_name": "WELCH",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-25",
"last_updated": "2013-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY1165",
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IA",
"license": "000748",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "IA",
"license": "001046",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLIE",
"last_name": "WELCH",
"middle_name": "MICHELLE",
"credential": "MS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.