Kristie Wellman

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

00010705 Issued in WA

Practice address

201 NE Park Plaza Dr
Suite 246
Vancouver, WA 98684-5808

Phone

(360) 696-1070

Fax

(360) 737-0200

NPI assigned

Mar 5, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267747200000",
    "number": "1477876456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 NE PARK PLAZA DR",
            "address_2": "SUITE 246",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845808",
            "telephone_number": "360-696-1070",
            "fax_number": "360-737-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NE PARK PLAZA DR",
            "address_2": "SUITE 246",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845808",
            "telephone_number": "360-696-1070",
            "fax_number": "360-737-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLMAN",
        "first_name": "KRISTIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-05",
        "last_updated": "2010-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "00010705",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OR",
            "license": "06147",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Dawn Welch
• Rachel Welch, MOTR/L
• Stephanie Weldy
• Casey James Well
• Bryanna Lynn Weller
• Deangeloa Wells
• Jessica Wells, IBCLC
• Sarah Wells, OTR/L
• Justin Welsh, LMHC
• Kelsea Welsh

• Physical Medicine & Rehabilitation Physician in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Physical Medicine & Rehabilitation Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.