Individual provider Active NPI

Kendra Welch

  • Family Nurse Practitioner
  • Woodway, TX
National Provider Identifier
1376194571
Registry record updated Jul 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP145134 Issued in TX
Practice address
9110 Jordan LN
Woodway, TX 76712-3369
Phone
(254) 399-0740
NPI assigned
Sep 28, 2019
Last updated
Jul 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP145134 TX Primary
Registered Nurse 163W00000X 913525 TX

Addresses

Primary practice location

9110 Jordan LN
Woodway, TX 76712-3369

Mailing address

9426 Silverthorn Dr
Waco, TX 76708-5660
Phone (325) 660-7160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200715002924 TX Practitioner - Nurse Practitioner 2264856889 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Randall Henderson, D.O. PLLCGroup PAC ID 3274759303, 6 clinicians
Legacy Urgent Care PAGroup PAC ID 3072679828, 157 clinicians

Practice addresses (Care Compare)

1314 N Brazos St
Whitney, TX 76692-2010
Phone (254) 694-3621

9205 Legacy Dr
Frisco, TX 75033-6750
Phone (972) 625-6020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
913525TXMDRegistered Nurse
AP145134TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthnow Urgent Care Inc CurrentSince Jul 15, 2021 Accepting new patients
Legacy Urgent Care, PA CurrentSince Apr 1, 2023 Accepting new patients
Premier Physicians-II, P.a. CurrentSince Sep 1, 2021 Accepting new patients
Frisco Emergency Medicine Associates, PA Past Accepting new patients

Locations

330 S Denton Tap Rd
Coppell, TX 75019
Phone (469) 312-7777

9205 Legacy Dr
Frisco, TX 75033
Phone (972) 625-6020

207 I 35 Hwy NW
Hillsboro, TX 76645
Phone (254) 332-1709

2810 S Hardin Blvd
Ste 100
McKinney, TX 75072
Phone (972) 548-7277

8950 N Tarrant Pkwy
North Richlnd Hls, TX 76182
Phone (817) 281-7277

900 Austin Ave
Ste 1001
Waco, TX 76701
Phone (254) 224-8808

200 N San Jacinto St
Whitney, TX 76692
Phone (254) 332-0123

9110 Jordan Ln
Ste 200
Woodway, TX 76712
Phone (254) 399-0740

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1569628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690675200000",
    "number": "1376194571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9426 SILVERTHORN DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767085660",
            "telephone_number": "325-660-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9110 JORDAN LN",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "767123369",
            "telephone_number": "254-399-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "KENDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-28",
        "last_updated": "2023-07-30",
        "certification_date": "2023-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145134",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "913525",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodway, TX

Sources for this page

Verify at the official NPI Registry.