Individual provider Active NPI

Krista Marie Welch, FNP

  • Family Nurse Practitioner
  • Whiteville, NC
National Provider Identifier
1174159529
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5013006 Issued in NC
Practice address
5 Whiteville Town Ctr
Whiteville, NC 28472-4401
Phone
(910) 212-6613
NPI assigned
Mar 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5013006 NC Primary

Addresses

Primary practice location

5 Whiteville Town Ctr
Whiteville, NC 28472-4401

Mailing address

245 Perrin Dr
Loris, SC 29569-4633
Phone (336) 653-0482

Other names 1

  • Krista Inman Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kinman@goshenmed.com Direct
Direct Messaging Address kinman@goshenmed.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200520002511 NC Practitioner - Nurse Practitioner 9638500978 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Medical Center Incorporated Current Accepting new patients
Goshen Medical Center, Incorporated Current Accepting new patients
Carolina Quickcare Family Practice, PLLC CurrentSince Jun 30, 2023 Accepting new patients
Goshen Medical Center, Inc. CurrentSince Apr 19, 2020 Accepting new patients
Goshen Medical Center Incorporated CurrentSince Apr 19, 2020 Accepting new patients

Locations

2265 NC Highway 24 27 E
Biscoe, NC 27209
Phone (919) 810-0054

444 SW Center St
Faison, NC 28341
Phone (910) 267-0421

4612 Main St
Shallotte, NC 28470
Phone (910) 444-2970

5 Whiteville Town Ctr
Whiteville, NC 28472
Phone (910) 212-6613

Interoperability endpoints

  • Direct secure messaging: kinman@goshenmedical.cloudcraftdirect.com

Organizations & group practices 5

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": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1174159529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 PERRIN DR",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295694633",
            "telephone_number": "336-653-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WHITEVILLE TOWN CTR",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284724401",
            "telephone_number": "910-212-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "KRISTA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5013006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kinman@goshenmed.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5 Whiteville Town Ctr",
            "city": "Whiteville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284724401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kinman@goshenmed.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5 Whiteville Town Ctr",
            "city": "Whiteville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284724401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "INMAN",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Whiteville, NC

Sources for this page

Verify at the official NPI Registry.