Active NPI
Nicole Welch, OTR/L
- Occupational Therapist
- Mt Vernon, MO
National Provider Identifier
1922542638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 201403204
- Practice address
- 1425 S Landrum St
Mt Vernon, MO 65712 - Phone
- (417) 466-2260
- NPI assigned
- Dec 14, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2014032104 | MO | |
| Occupational Therapist | 225X00000X | 201403204 | MO | Primary |
Addresses
Primary practice location
1425 S Landrum St
Mt Vernon, MO 65712
Mailing address
1700 South Hudson Ave
Aurora, MO 65605
Phone (417) 678-2165
Other names 1
- Ms. Nicole Bowers
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201403204 | MO | MD | Occupational Therapist |
| 2014032104 | MO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bel Oak of Hudson House LLC | Occupational Therapist | Current | Accepting new patients |
| Bel Oak of Hudson House LLC | Occupational Therapist | Current | Accepting new patients |
Locations
1700B S Hudson Ave
Aurora, MO 65605
Phone (417) 678-2169
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744243200000",
"number": "1922542638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 SOUTH HUDSON AVE",
"city": "AURORA",
"state": "MO",
"postal_code": "65605",
"telephone_number": "417-678-2165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 S LANDRUM ST",
"city": "MT VERNON",
"state": "MO",
"postal_code": "65712",
"telephone_number": "417-466-2260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-14",
"last_updated": "2025-04-10",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2014032104",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "201403204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "BOWERS",
"prefix": "MS.",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mt Vernon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.