Wellcare, LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

WELLCARE, LLC

Practice address

10787 Nall Ave
Overland Park, KS 66211

Phone

(316) 835-1669

NPI assigned

Jan 24, 2023

Organization subpart

No

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

Authorized official

Name

Jaclyn B Whitlock, APRNNPI 1699252015

Title

Aprn/Owner

Phone

(913) 548-2434

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaclyn Brooke Whitlock, APRN

  • Family Nurse Practitioner
  • Shawnee, KS
  • NPI 1699252015
  NPD Authorized official

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1558077503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6022 MARION ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662189254",
            "telephone_number": "913-548-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10787 NALL AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66211",
            "telephone_number": "316-835-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-15",
        "status": "A",
        "authorized_official_last_name": "WHITLOCK",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "APRN/OWNER",
        "authorized_official_telephone_number": "913-548-2434",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigale Jayne Welch
• Kathryn E Welch, M.D.
• Lauren Welch, M.D.
• Meghan Welfer
• Well Spine KC, LLC
• Nicholas Welle, D.O.
• Natalie Wellington, APRN-NP-C
• Geoffrey Welliver
• Wellness Dimensions, LLC
• Wellness Within Chiropractic Center, LLC

• Primary Care Nurse Practitioner in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Primary Care Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.