Crissy Diane Welch, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

686739 Issued in TX

Practice address

12001 South Fwy Ste 302
Burleson, TX 76028-7215

Phone

(817) 854-2210

Fax

(817) 708-2150

NPI assigned

May 7, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: crissy.welch.1@22141.direct.athenahealth.com

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.

• McKenzie Welch Medical Group, PLLC

  • Family Medicine Physician
  • Burleson, TX
  • NPI 1750992053
  NPD (past)

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1629244777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12001 SOUTH FWY STE 302",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287215",
            "telephone_number": "817-854-2210",
            "fax_number": "817-708-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 SOUTH FWY STE 302",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287215",
            "telephone_number": "817-854-2210",
            "fax_number": "817-708-2150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 N Ridgeway Dr",
            "address_purpose": "LOCATION",
            "city": "Cleburne",
            "state": "TX",
            "postal_code": "760334115",
            "country_code": "US",
            "telephone_number": "817-556-4800",
            "fax_number": "817-774-5015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELCH",
        "first_name": "CRISSY",
        "middle_name": "DIANE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "686739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "686739",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Elizabeth Washburn, AUDIOLOGIST
• Hannah Kristine Watkins, M.S. CCC-SLP
• Jessica Renee Watson
• Natalia Weatherly
• Cindy Webster, DPM
• Harold M Welch III, PT
• Well Crest Medical Clinic PLLC
• Christopher Paul Werner, DPM
• Courtney Shea Werner, PNP
• West Burleson Anesthesia PLLC

• Family Nurse Practitioner in Burleson, TX
• Providers in Burleson, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.