Active NPI
Ellen Welch
- Registered Dietitian
- West Lafayette, IN
National Provider Identifier
1558764183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 37002158A
- Practice address
- 1400 W State St Ste C
West Lafayette, IN 47906-3438 - Phone
- (765) 494-0111
- NPI assigned
- Sep 26, 2014
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 37002158A | IN | Primary |
Addresses
Primary practice location
1400 W State St Ste C
West Lafayette, IN 47906-3438
Mailing address
3909 John Adams Rd
Lafayette, IN 47909-3551
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37002158A | IN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411689600000",
"number": "1558764183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3909 JOHN ADAMS RD",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479093551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 W STATE ST STE C",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479063438",
"telephone_number": "765-494-0111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "ELLEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-26",
"last_updated": "2014-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IN",
"license": "37002158A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.