Jacob Welker Dakota Welker

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT2578 Issued in SC

Practice address

10800 Highway 707
Murrells Inlet, SC 29576-9700

Phone

(843) 650-5600

Fax

(843) 650-2998

NPI assigned

Dec 9, 2022

Last updated

Dec 9, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jwelker@horrycountyschools.net

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1679284715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 CALHOUN DR",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295769023",
            "telephone_number": "336-516-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 HIGHWAY 707",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295769700",
            "telephone_number": "843-650-5600",
            "fax_number": "843-650-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELKER",
        "first_name": "JACOB WELKER",
        "middle_name": "DAKOTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-09",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "AT2578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwelker@horrycountyschools.net",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10800 Highway 707",
            "city": "Murrells Inlet",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295769700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth Waterstradt, COTA/L
• Andrew Watkins
• Mary Ashley Watts, PHARM D
• Nancy Jo Weber, MBA, RD, CDE, CSR, L
• Angela Keesley Welchel
• William K Whiteside, MD
• Caleb Sims Whitney, ATC
• Amy R Wielkopolan, LMBT
• Mary W Wildermuth, PT
• Jeffrey C. Wilkins, MD

• Athletic Trainer in Murrells Inlet, SC
• Providers in Murrells Inlet, SC by specialty
• Athletic Trainer in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.