Charrise Welch

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

KK362465 Issued in CA

Practice address

3178 Vickery Dr NE
Marietta, GA 30066-4812

Phone

(678) 282-7878

NPI assigned

Jun 10, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1336708619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3178 VICKERY DR NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664812",
            "telephone_number": "678-282-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3178 VICKERY DR NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664812",
            "telephone_number": "678-282-7878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3178 Vickery Dr NE",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300664812",
            "country_code": "US",
            "telephone_number": "678-282-7878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELCH",
        "first_name": "CHARRISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "CA",
            "license": "KK362465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "URL",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3178 Vickery Dr NE",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300664812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cindy Weiss
• Lawrence Steven Weiss, M.D.
• Emily Gold Weissman, MA, LPC
• Debbie Weitz, LPC
• Stacey Cohen Weitzner, DMD
• Madelyn Welch, MD
• Margaret Grace Welch, DPT
• Angela L. Welden, PHARMD
• Clifton Roy Weldon, D.C.
• Ricky Alan Welkis, D.C.

• Prosthetics Case Management in Marietta, GA
• Providers in Marietta, GA by specialty
• Prosthetics Case Management in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.