Active NPI
Stacey Welch, LMBT
- Massage Therapist
- Wilmington, NC
National Provider Identifier
1851028435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 4723
- Practice address
- 4020 Oleander Dr Ste 103
Wilmington, NC 28403-6800 - Phone
- (910) 264-1580
- NPI assigned
- Aug 4, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 4723 | NC | Primary |
Addresses
Primary practice location
4020 Oleander Dr Ste 103
Wilmington, NC 28403-6800
Mailing address
4020 Oleander Dr Ste 103
Wilmington, NC 28403-6800
Phone (910) 264-1580
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4723 | NC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1851028435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4020 OLEANDER DR STE 103",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036800",
"telephone_number": "910-264-1580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4020 OLEANDER DR STE 103",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036800",
"telephone_number": "910-264-1580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "STACEY",
"credential": "LMBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-04",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "4723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
- Mark Alexander Weiss, MD
- Stanley G Weiss, PAC
- Anthony Paul Welch, LCSW
- Bradley Austin Welch, DMD
- Holly Raye Welch, RBT
- Steven Welch, M.D.
- Taylor Nicole Welch, MD
- Well Care Home Health of New Hanover, Inc. (Well Care Home Health of New Hanover)
- Well Care Home Health of the Midlands, Inc
- Well Care Home Health, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.