Georgeanna L Welch, NP FNPC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

544999 Issued in TX

Practice address

3502 22ND St
Lubbock, TX 79410-1308

Phone

(806) 799-4192

Fax

(806) 799-6299

NPI assigned

Apr 24, 2007

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 3

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

State licenses

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1760600589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 22ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101308",
            "telephone_number": "806-799-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 22ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101308",
            "telephone_number": "806-799-4192",
            "fax_number": "806-799-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "GEORGEANNA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "NP FNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "544999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206176401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8Y9526",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00743584",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mitzi Sheree Weeks, PHARMACIST
• Michael Callan Weems, PTA
• Cynthia Jo Weiss-Kaffie, APRN
• Christopher Joseph Weiss, MD
• Colt Ryan Welch, CRNA, APRN
• Nicole Lynn Welch, M.D.
• Susannah Joy Welch, PMHNP-BC
• Teresa M Welch, APRN
• Tyler Welch, MD
• Weldon L. Ash

• Family Nurse Practitioner in Lubbock, TX
• Providers in Lubbock, 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 Jul 23, 2021; 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.