Laurel Lynn Welty, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

105881 Issued in IA

Practice address

722 N 10TH St
Monmouth, IL 61462-1430

Phone

(317) 473-3587

NPI assigned

Mar 11, 2009

Last updated

Jan 12, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: laurel.welty.p5@direct.caremoreagp.nextgenshare.com
• Direct secure messaging: laurel.weltycnp.p29@direct.fhn-fqhc.nextgenshare.com
• Direct secure messaging: lwelty593153@direct.ochin.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southeast Iowa Regional Medical Center, Inc.

  dba Southeast Iowa Regional Medical Center

  • General Practice Physician
  • West Burlington, IA
  • NPI 1164433884
  NPD (past)

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1144461757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 N 10TH ST",
            "city": "MONMOUTH",
            "state": "IL",
            "postal_code": "614621430",
            "telephone_number": "317-473-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 N 10TH ST",
            "city": "MONMOUTH",
            "state": "IL",
            "postal_code": "614621430",
            "telephone_number": "317-473-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELTY",
        "first_name": "LAUREL",
        "middle_name": "LYNN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-11",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "105881",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28197693A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "829265",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "141990-7545",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "1144461757",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144461757",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #11881)
• Walgreen Co. (Walgreens #11881)
• Warren Achievement Center
• Warren Achievement Center Inc
• John Henry Wegmann, DC
• Western Illinois Home Health Care, Inc.
• Western Illinois Home Provider Care Inc.
• Jamie J Weyant, MS RD LDN
• Joshua Woodward
• Yorkwood Cusd 225

• Family Nurse Practitioner in Monmouth, IL
• Providers in Monmouth, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.