Individual provider Active NPI

Dawn Elizabeth Welk, RN, PNP

  • Pediatric Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1932502630
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP126780 Issued in TX
Practice address
4499 Medical Dr Ste 347
San Antonio, TX 78229-3853
Phone
(210) 615-8757
Fax
(210) 615-8789
NPI assigned
Oct 8, 2014
Last updated
Oct 31, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP126780 TX Primary
Pediatric Registered Nurse 163WP0200X 678017 TX

Addresses

Primary practice location

4499 Medical Dr Ste 347
San Antonio, TX 78229-3853

Mailing address

1500 Concord Ter
Sunrise, FL 33323-2815
Phone (800) 243-3839

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180822000561 TX Practitioner - Nurse Practitioner 6103175328 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
678017TXMDPediatric Registered Nurse
AP126780TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Magella Medical Associates Billing, Inc. CurrentSince May 8, 2018 Accepting new patients
Methodist Physician Practices, PLLC Past Accepting new patients
Bexar Pediatric Surgery Associates PLLC Past Accepting new patients

Locations

4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165

815 Market St
Galveston, TX 77550
Phone (409) 770-6600

11777 FM 1960 Rd W
Houston, TX 77065
Phone (832) 828-3501

2700 W Pleasant Run Rd
Ste 220
Lancaster, TX 75146
Phone (888) 871-1883

545 Creekside Xing
Ste 206
New Braunfels, TX 78130
Phone (210) 656-5098

10223 Broadway St
Ste E
Pearland, TX 77584
Phone (713) 340-2848

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

19223 Stonehue
San Antonio, TX 78258
Phone (210) 490-5911

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

4499 Medical Dr
San Antonio, TX 78229
Phone (210) 575-4325

4499 Medical Dr
Ste 347
San Antonio, TX 78229
Phone (210) 615-8757

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

5210 Thousand Oaks Dr
Ste 1203
San Antonio, TX 78233
Phone (210) 233-7250

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414713600000",
    "number": "1932502630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 CONCORD TER",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232815",
            "telephone_number": "800-243-3839",
            "fax_number": "954-858-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4499 MEDICAL DR STE 347",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293853",
            "telephone_number": "210-615-8757",
            "fax_number": "210-615-8789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELK",
        "first_name": "DAWN",
        "middle_name": "ELIZABETH",
        "credential": "RN, PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP126780",
            "primary": true
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "TX",
            "license": "678017",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.