Shannon Renee Welch

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

19802 Wilderness Dr
Caldwell, ID 83605-8078

Phone

(208) 922-8348

NPI assigned

Jul 22, 2019

Sex

Female

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)

Not enrolled

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1114570892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19476 LORI DR",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836079526",
            "telephone_number": "208-922-8348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19802 WILDERNESS DR",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836058078",
            "telephone_number": "208-922-8348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19476 Lori Dr",
            "address_purpose": "LOCATION",
            "city": "Caldwell",
            "state": "ID",
            "postal_code": "836079526",
            "country_code": "US",
            "telephone_number": "208-922-8348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELCH",
        "first_name": "SHANNON",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean R Weatherston, P.T.
• Jason Weaver
• Jordan Weaver, DC
• Neal P. Webster, D.D.S.
• Nancy Weikel
• Stefanie Ann Wells
• Jessica Werst, LMSW
• West Idaho Anesthesia, LLP
• West Idaho Imedcare
• West Marriage & Family Counseling

• Behavior Technician in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Behavior Technician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.