Active NPI
Stephanie Welch, FNP-BC
- Family Nurse Practitioner
- Albuquerque, NM
National Provider Identifier
1467905356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP-02989
- Practice address
- 9640 Menaul Blvd NE
Albuquerque, NM 87112-2217 - Phone
- (505) 294-4167
- NPI assigned
- Jul 27, 2016
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP-02989 | NM | Primary |
Addresses
Primary practice location
9640 Menaul Blvd NE
Albuquerque, NM 87112-2217
Mailing address
9640 Menaul Blvd NE
Albuquerque, NM 87112-2217
Phone (505) 294-4167
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 |
|---|---|---|---|
| CNP-02989 | NM | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484265600000",
"number": "1467905356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9640 MENAUL BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871122217",
"telephone_number": "505-294-4167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9640 MENAUL BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871122217",
"telephone_number": "505-294-4167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "STEPHANIE",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-27",
"last_updated": "2017-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "CNP-02989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.