Active NPI
Deborah Ann Welte, CPNP
- Pediatric Nurse Practitioner
- Hillsboro, OR
National Provider Identifier
1710059092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 077039088N2 PNP-PP
- Practice address
- 445 E Main St
Hillsboro, OR 97123-4084 - Phone
- (503) 640-2757
- Fax
- (503) 640-9753
- NPI assigned
- Nov 14, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 077039088N2 PNP-PP | OR | Primary |
Addresses
Primary practice location
445 E Main St
Hillsboro, OR 97123-4084
Mailing address
445 E Main St
Hillsboro, OR 97123-4084
Phone (503) 640-2757
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R167204 | Other | PTAN | |
| 500637122 | Medicaid | OR |
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
- Credentials
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 077039088N2 PNP-PP | OR | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365638400000",
"number": "1710059092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 E MAIN ST",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971234084",
"telephone_number": "503-640-2757",
"fax_number": "503-640-9753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 E MAIN ST",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971234084",
"telephone_number": "503-640-2757",
"fax_number": "503-640-9753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELTE",
"first_name": "DEBORAH",
"middle_name": "ANN",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2013-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OR",
"license": "077039088N2 PNP-PP",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "R167204",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500637122",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.