Active NPI
Jill D Welch, SLP
- Speech-Language Pathologist
- Van Wert, OH
National Provider Identifier
1346462744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP 6779
- Practice address
- 1119 Westwood Drive
Suite C
Van Wert, OH 45891-1473 - Phone
- (888) 557-1200
- Fax
- (419) 238-3612
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP 6779 | OH | Primary |
Addresses
Primary practice location
1119 Westwood Drive
Suite C
Van Wert, OH 45891-1473
Mailing address
11413 County Road 60
Haviland, OH 45851-9623
Phone (419) 399-3466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000362509 | Other | OH | ANTHEM PIN # |
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 |
|---|---|---|---|
| SP 6779 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346462744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11413 COUNTY ROAD 60",
"city": "HAVILAND",
"state": "OH",
"postal_code": "458519623",
"telephone_number": "419-399-3466",
"fax_number": "419-238-3612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1119 WESTWOOD DRIVE",
"address_2": "SUITE C",
"city": "VAN WERT",
"state": "OH",
"postal_code": "458911473",
"telephone_number": "888-557-1200",
"fax_number": "419-238-3612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "JILL",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP 6779",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN #",
"identifier": "000000362509",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Van Wert, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.