Active NPI
Lisa Diane Welch, OTR/L
- Occupational Therapist
- Paducah, KY
National Provider Identifier
1902030059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- R2987
- Practice address
- 3100 Clay St
Paducah, KY 42001-4075 - Phone
- (270) 442-6884
- NPI assigned
- May 5, 2009
- Last updated
- Aug 11, 2012
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | R2987 | KY | Primary |
Addresses
Primary practice location
3100 Clay St
Paducah, KY 42001-4075
Mailing address
3601 Joretta Ave
Paducah, KY 42001-9507
Phone (270) 442-5341
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344643200000",
"number": "1902030059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 JORETTA AVE",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420019507",
"telephone_number": "270-442-5341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 CLAY ST",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420014075",
"telephone_number": "270-442-6884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "LISA",
"middle_name": "DIANE",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-05",
"last_updated": "2012-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "R2987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
- Brianna Weidenbach
- Weights and Plates Rd LLC
- Breelyn Ashby Weir
- Bradley Joseph Weitlauf
- Leslie Weitlauf, P.T.
- Wellington Parc Health Systems, Inc. (Wellington Parc of Paducah)
- Douglas Dayne Wells, M.A., L.P.P.
- Wellsprings Institute, PLLC (WellSprings Dermatology)
- Deborah D Welsh, APRN
- Emily Ann Welshenbaugh
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.