Christina Wellman, DNP, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

255928 Issued in AZ

Practice address

625 N Gilbert Rd Ste 104
Gilbert, AZ 85234-4511

Phone

(480) 834-3507

NPI assigned

Oct 19, 2020

Last updated

Oct 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Heather a Bacon, PH.D., LLC

  dba Rivercrest Behavioral Health & Wellness

  • Clinical Psychologist
  • Hermiston, OR
  • NPI 1447845458
  NPD (past)

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1881293165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 N GILBERT RD STE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852344511",
            "telephone_number": "480-834-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N GILBERT RD STE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852344511",
            "telephone_number": "480-834-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLMAN",
        "first_name": "CHRISTINA",
        "credential": "DNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2021-10-07",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "AZ",
            "license": "RN189074",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "255928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jealousy M Welch, THERAPIST
• Nicholas Guy Welch, PT
• Dolores Louella Weld, RN
• Well Chiropractic Clinic 3 LLC
• Sarah Wellikson, PHARMD
• Wellness 1St Integrative Medical Center, LLC
• Wellness Associates, PLLC
• Wellness Dynamics LLC (Desert Springs Chiropractic Center)
• Wellness Outreach LLC
• Matthew Wellock, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.