Active NPI
Mary Byrne Welch, RN FNP, AOCN
- Nurse Practitioner
- Long Beach, CA
National Provider Identifier
1417944372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN479278
- Practice address
- 2810 Long Beach BL
Todd Cancer Institute at Long Beach Memorial
Long Beach, CA 90806 - Phone
- (562) 933-0961
- Fax
- (560) 933-0960
- NPI assigned
- Oct 5, 2005
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN479278 | CA | Primary |
Addresses
Primary practice location
2810 Long Beach BL
Todd Cancer Institute at Long Beach Memorial
Long Beach, CA 90806
Mailing address
2810 Long Beach Blvd
Todd Cancer Institute at Long Beach Memorial
Long Beach, CA 90806
Phone (562) 933-0961
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500022897 | Other | RAILROAD MEDICARE | |
| NPO114960 | Other | BLUE SHIELD |
Other names 1
- Mary Catherine Byrne
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040220001131 | CA | Practitioner - Nurse Practitioner | 1759276330 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN479278 | CA | MD | Nurse Practitioner |
Interoperability endpoints
- mwelch175413@direct.memorialcare.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519948800000",
"number": "1417944372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2810 LONG BEACH BLVD",
"address_2": "TODD CANCER INSTITUTE AT LONG BEACH MEMORIAL",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90806",
"telephone_number": "562-933-0961",
"fax_number": "560-933-0960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2810 LONG BEACH BL",
"address_2": "TODD CANCER INSTITUTE AT LONG BEACH MEMORIAL",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90806",
"telephone_number": "562-933-0961",
"fax_number": "560-933-0960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "MARY",
"middle_name": "BYRNE",
"credential": "RN FNP, AOCN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-05",
"last_updated": "2018-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "RN479278",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "500022897",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "NPO114960",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "BYRNE",
"middle_name": "CATHERINE",
"credential": "RN, MS, FNP, AOCN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.