Carolyn S Welch, N.P.

Individual provider Active NPI Family Nurse Practitioner · Knoxville, TN

NPI 1356736086 · NPPES record last updated Aug 15, 2024

Key facts

NPI
1356736086
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
19066 (TN)
Practice address
1400 Dutch Valley Dr
Knoxville, TN 37918-1424
Phone
(865) 689-1122
Fax
(866) 340-3781
NPI assigned
Mar 31, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Medical LLC Past Accepting new patients
East Tennessee Children'S Primary Care Center, Inc. Family Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19066 TN Yes

Addresses

Primary practice location

1400 Dutch Valley Dr
Knoxville, TN 37918-1424

Mailing address

PO Box 15004
Knoxville, TN 37901-5004
Phone (865) 541-8895

Other identifiers

IdentifierTypeStateIssuer
Q014183MedicaidTN

Other names

  • Carolyn S Scarbrough Former name

Other providers in Knoxville, TN

All providers in Knoxville, TN · Family Nurse Practitioner in Tennessee

Sources for this page

Verify at the official NPI Registry.