Organization Active NPI

Melanie Welch, FNP, LLC

  • Family Nurse Practitioner
  • Deridder, LA
National Provider Identifier
1235638222
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09452 Issued in LA
Legal business name
MELANIE WELCH, FNP, LLC
Practice address
1420 Blankenship Dr.
Deridder, LA 70634
Phone
(337) 460-9472
NPI assigned
Feb 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Authorized official

Name
Mrs. Melanie Welch, FNPNPI 1184147787
Title
Owner / Authorized Official
Phone
(318) 306-0471

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X AP09452 LA Primary

Addresses

Primary practice location

1420 Blankenship Dr.
Deridder, LA 70634

Mailing address

PO Box 236
Elizabeth, LA 70638

Other practice location 1

275 Hwy 3206
Elizabeth, LA 70638-7063
Phone (318) 306-0471

Other identifiers 2

IdentifierTypeStateIssuer
592859YQCDOtherLAMEDICARE
2455656MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180323000300 LA Part B Supplier - Clinic/Group Practice 1052673449 Receives reassigned benefits from 1 practitioner
Practice locations: Elizabeth, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1235638222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "ELIZABETH",
            "state": "LA",
            "postal_code": "70638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 BLANKENSHIP DR.",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "70634",
            "telephone_number": "337-460-9472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 HWY 3206",
            "address_purpose": "LOCATION",
            "city": "Elizabeth",
            "state": "LA",
            "postal_code": "706387063",
            "country_code": "US",
            "telephone_number": "318-306-0471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MELANIE WELCH, FNP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-06",
        "last_updated": "2021-07-12",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "OWNER / AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "318-306-0471",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "592859YQCD",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2455656",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deridder, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.