Active NPI
Lauren Welsch, ATC
- Clinic/Center
- Virginia Beach, VA
National Provider Identifier
1417482472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 190513
- Practice address
- 4812 Lake Dr
Virginia Beach, VA 23455-1326 - Phone
- (636) 288-5126
- NPI assigned
- Apr 27, 2017
- Last updated
- Apr 27, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 190513 | VA | Primary |
Addresses
Primary practice location
4812 Lake Dr
Virginia Beach, VA 23455-1326
Mailing address
4812 Lake Dr
Virginia Beach, VA 23455-1326
Phone (636) 288-5126
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 |
|---|---|---|---|
| 190513 | VA | MD | Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493251200000",
"number": "1417482472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4812 LAKE DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234551326",
"telephone_number": "636-288-5126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4812 LAKE DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234551326",
"telephone_number": "636-288-5126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELSCH",
"first_name": "LAUREN",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-27",
"last_updated": "2017-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "VA",
"license": "190513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.