Individual provider Active NPI

Amanda Welch

  • Family Nurse Practitioner
  • Staunton, VA
National Provider Identifier
1134627169
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024177677 Issued in VA
Practice address
370 Hessian LN
Staunton, VA 24401-8974
Phone
(229) 224-1930
NPI assigned
Jan 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN220132 GA
Family Nurse Practitioner 363LF0000X ARNP9409299 FL
Family Nurse Practitioner 363LF0000X 0024177677 VA Primary

Addresses

Primary practice location

370 Hessian LN
Staunton, VA 24401-8974

Mailing address

370 Hessian LN
Staunton, VA 24401-8974
Phone (229) 224-1930

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address test@marsden.directproject.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190917003780 VA Practitioner - Nurse Practitioner 3779828421 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9409299FLMDFamily Nurse Practitioner
RN220132GAMDFamily Nurse Practitioner
0024177677VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC CurrentSince Nov 1, 2021 Accepting new patients
Signify Health, LLC CurrentSince Nov 23, 2022 Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

15051 Harmony Hills Ln
Abingdon, VA 24211
Phone (276) 451-2590

515 Ray C Hunt Dr
Charlottesvle, VA 22903
Phone (434) 244-2000

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200

Interoperability endpoints

  • Direct secure messaging: amanda.welch@hca5.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1134627169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 HESSIAN LN",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244018974",
            "telephone_number": "229-224-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 HESSIAN LN",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244018974",
            "telephone_number": "229-224-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN220132",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9409299",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024177677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "test@marsden.directproject.com",
            "affiliation": "N",
            "address_1": "2901 S Lynnhaven Rd Ste 450",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234528524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Staunton, VA

Sources for this page

Verify at the official NPI Registry.