Active NPI
Nicole C Welsh, M.D
- Child & Adolescent Psychiatry Physician
- Sparks, NV
National Provider Identifier
1427204486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 15673
- Practice address
- 639 Pyramid Way
Sparks, NV 89431-5060 - Phone
- (775) 245-2373
- Fax
- (775) 245-2375
- NPI assigned
- Aug 11, 2008
- Last updated
- Sep 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 15673 | NV | |
| Psychiatry Physician | 2084P0800X | 15673 | NV | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 15673 | NV | Primary |
Addresses
Primary practice location
639 Pyramid Way
Sparks, NV 89431-5060
Mailing address
639 Pyramid Way
Sparks, NV 89431-5060
Phone (775) 245-2373
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12541096 | Other | NV | CAQH |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicole Welsh PLLC | Pediatrics | Current | Accepting new patients |
| Father Flanagan's Boys' Home | Pediatrics | Past | Accepting new patients |
Locations
639 Pyramid Way
Sparks, NV 89431
Phone (775) 245-2373
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Boys Town Professional Services
- Pediatrics Physician
- Omaha, NE
- NPI 1295821825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632355200000",
"number": "1427204486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "639 PYRAMID WAY",
"city": "SPARKS",
"state": "NV",
"postal_code": "894315060",
"telephone_number": "775-245-2373",
"fax_number": "775-245-2374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "639 PYRAMID WAY",
"city": "SPARKS",
"state": "NV",
"postal_code": "894315060",
"telephone_number": "775-245-2373",
"fax_number": "775-245-2375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELSH",
"first_name": "NICOLE",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-11",
"last_updated": "2021-09-23",
"certification_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NV",
"license": "15673",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NV",
"license": "15673",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NV",
"license": "15673",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12541096",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.