Active NPI
Melanie Welch, FNP, LLC
- Family Nurse Practitioner
- Deridder, LA
National Provider Identifier
1235638222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP09452
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Melanie Welch, FNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 592859YQCD | Other | LA | MEDICARE |
| 2455656 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Elizabeth, LA
- NPI 1184147787
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.