Individual provider Active NPI

Gloria Patricia Welshman, LPN

  • Licensed Practical Nurse
  • Stamford, CT
National Provider Identifier
1366911513
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
41948 Issued in CT
Practice address
1425 Bedford St Apt 10E
Stamford, CT 06905-5234
Phone
(914) 224-5034
Fax
(203) 588-9881
NPI assigned
Nov 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X 41948 CT Primary

Addresses

Primary practice location

1425 Bedford St Apt 10E
Stamford, CT 06905-5234

Mailing address

291 Eastchester Rd
New Rochelle, NY 10801-1001
Phone (914) 224-5034

Other practice location 1

291 Eastchester Rd
New Rochelle, NY 10801-1001
Phone (914) 224-5034

Other practice location 2

1425 Bedford St Apt 10E
Stamford, CT 06905-5234
Phone (914) 224-5034

Other practice location 3

291 Eastchester Rd
New Rochelle, NY 10801-1001
Phone (914) 224-5034

Other identifiers 1

IdentifierTypeStateIssuer
600890004366971101MedicaidCT

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

NPI Registry JSON

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1366911513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 EASTCHESTER RD",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108011001",
            "telephone_number": "914-224-5034",
            "fax_number": "203-588-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 BEDFORD ST APT 10E",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055234",
            "telephone_number": "914-224-5034",
            "fax_number": "203-588-9881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "291 Eastchester Rd",
            "address_purpose": "LOCATION",
            "city": "New Rochelle",
            "state": "NY",
            "postal_code": "108011001",
            "country_code": "US",
            "telephone_number": "914-224-5034",
            "fax_number": "203-588-9881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1425 Bedford St Apt 10E",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069055234",
            "country_code": "US",
            "telephone_number": "914-224-5034",
            "fax_number": "203-588-9881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "291 Eastchester Rd",
            "address_purpose": "LOCATION",
            "city": "New Rochelle",
            "state": "NY",
            "postal_code": "108011001",
            "country_code": "US",
            "telephone_number": "914-224-5034",
            "fax_number": "203-588-9881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELSHMAN",
        "first_name": "GLORIA",
        "middle_name": "PATRICIA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-16",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "CT",
            "license": "41948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600890004366971101",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; 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.