Kimberly Anne Welch

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

F380784 Issued in NY

Practice address

20011 Summit View Blvd
Watertown, NY 13601-1996

Phone

(315) 782-4391

NPI assigned

Apr 10, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kwelch@pedassocwtn.medentdirect.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.

• Pediatric Associates of Watertown P.C.

  • Pediatrics Physician
  • Watertown, NY
  • NPI 1497855670
  NPD (past)

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1730612441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20011 SUMMIT VIEW BLVD",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136011996",
            "telephone_number": "315-782-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20011 SUMMIT VIEW BLVD",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136011996",
            "telephone_number": "315-782-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F380784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kriston Webb, MASTER
• Daniel J Weber, MD
• Hallie Alice Weinman
• Gerald S Weinstein, MD
• Norman Weir, MD
• Angela Marie Weldon, L.M.T.
• Ashlee Anne Weldon
• Well Speak Speech Therapy, PLLC
• Megan Weller, DPT
• Wellness Physician Care PLLC

• Pediatric Nurse Practitioner in Watertown, NY
• Providers in Watertown, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.