Active NPI
Malika Welborn
- Family Nurse Practitioner
- Alexandria, VA
National Provider Identifier
1427600063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024178029
- Practice address
- 1636 Belle View Blvd
Alexandria, VA 22307-6531 - Phone
- (703) 768-7044
- NPI assigned
- Jul 14, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024178029 | VA | Primary |
Addresses
Primary practice location
1636 Belle View Blvd
Alexandria, VA 22307-6531
Mailing address
1636 Belle View Blvd
Alexandria, VA 22307-6531
Phone (703) 768-7044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 83.06 of 100
- Quality
- 53.56
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024178029 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liv Specialty Care CT PC | Current | Accepting new patients |
Locations
4900 Centennial Blvd
Ste 104
Nashville, TN 37209
Phone (615) 933-5800
3565 Plank Rd
Fredericksburg, VA 22407
Phone (540) 501-6683
47010 Community Plz
Ste 170
Sterling, VA 20164
Phone (703) 977-6779
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Local Infusion
- Infusion Therapy Clinic/Center
- Sterling, VA
- NPI 1275314148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640736000000",
"number": "1427600063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1636 BELLE VIEW BLVD",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223076531",
"telephone_number": "703-768-7044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1636 BELLE VIEW BLVD",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223076531",
"telephone_number": "703-768-7044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELBORN",
"first_name": "MALIKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-14",
"last_updated": "2021-12-29",
"certification_date": "2021-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024178029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.