Active NPI
Tara Yg Welty, L.AC.
- Acupuncturist
- Parkersburg, WV
National Provider Identifier
1336563121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 96220
- Practice address
- 911 Emerson Ave
Parkersburg, WV 26104-2526 - Phone
- (304) 699-1765
- NPI assigned
- Feb 13, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 96220 | WV | Primary |
| Acupuncturist | 171100000X | 000315 | OH |
Addresses
Primary practice location
911 Emerson Ave
Parkersburg, WV 26104-2526
Mailing address
1208 37TH St
Parkersburg, WV 26104-1149
Phone (304) 699-1765
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000315 | OH | MD | Acupuncturist |
| 96220 | WV | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467936000000",
"number": "1336563121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1208 37TH ST",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261041149",
"telephone_number": "304-699-1765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 EMERSON AVE",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261042526",
"telephone_number": "304-699-1765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELTY",
"first_name": "TARA",
"middle_name": "YG",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-13",
"last_updated": "2016-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WV",
"license": "96220",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OH",
"license": "000315",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parkersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.