Shatisha Welch

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

325522 Issued in NY

Practice address

386 Mayflower Ave
Brentwood, NY 11717-8202

Phone

(631) 387-5417

NPI assigned

Jun 15, 2016

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": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1235589722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 MAYFLOWER AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117178202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 MAYFLOWER AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117178202",
            "telephone_number": "631-387-5417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "SHATISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "325522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Athalee Watson, RN
• Michael T Watson
• Ximena G Weedon, NPP
• Gerald Weir, LAC
• Julie Weissman
• Debbie G Wende, OD
• Wendy Newland
• Erica Michele Westbrook
• Laurinda Westhoff-Grant, SLP M.A.,CCC
• Ashley White

• Licensed Practical Nurse in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.