Active NPI
Barbara Shehan Welty, FNP
- Family Nurse Practitioner
- Palm Springs, CA
National Provider Identifier
1235455064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 19698
- Practice address
- 1100 N Palm Canyon Dr
Suite 212
Palm Springs, CA 92262-4414 - Phone
- (760) 327-7900
- Fax
- (760) 327-7905
- NPI assigned
- Apr 19, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 500829 | CA | |
| Family Nurse Practitioner | 363LF0000X | 19698 | CA | Primary |
Addresses
Primary practice location
1100 N Palm Canyon Dr
Suite 212
Palm Springs, CA 92262-4414
Mailing address
42335 Washington St
Suite F
Palm Desert, CA 92211-8031
Phone (760) 345-5390
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0101240 | Medicaid | CA | |
| ZZZ27958Z | Other | CA | MEDICARE GROU PTAN |
| GR0101241 | Medicaid | CA | |
| GR0101242 | Medicaid | CA |
Other names 1
- Miss Barbara Joan Shehan
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400630400000",
"number": "1235455064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42335 WASHINGTON ST",
"address_2": "SUITE F",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922118031",
"telephone_number": "760-345-5390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 N PALM CANYON DR",
"address_2": "SUITE 212",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922624414",
"telephone_number": "760-327-7900",
"fax_number": "760-327-7905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELTY",
"first_name": "BARBARA",
"middle_name": "SHEHAN",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-19",
"last_updated": "2014-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "500829",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "19698",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0101240",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROU PTAN",
"identifier": "ZZZ27958Z",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0101241",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0101242",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BARBARA",
"last_name": "SHEHAN",
"middle_name": "JOAN",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Palm Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.