NPI Code Detail JSON Logo

1235455064 NPI number — BARBARA SHEHAN WELTY FNP

NPI Number: 1235455064
Health Care Provider/Practitioner: BARBARA SHEHAN WELTY FNP

Information about “1235455064” NPI (BARBARA SHEHAN WELTY FNP) exists in 1235455064 in HTML format HTML  |  1235455064 in plain Text format TXT  |  1235455064 in PDF (Portable Document Format) PDF  |  1235455064 in an XML format XML  formats.

NPI Number : 1235455064 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235455064",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WELTY",
    "FirstName": "BARBARA",
    "MiddleName": "SHEHAN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SHEHAN",
    "OtherFirstName": "BARBARA",
    "OtherMiddleName": "JOAN",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "42335 WASHINGTON ST",
    "SecondLineMailingAddress": "SUITE F",
    "MailingAddressCityName": "PALM DESERT",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92211-8031",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "760-345-5390",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1100 N PALM CANYON DR",
    "SecondLinePracticeLocationAddress": "SUITE 212",
    "PracticeLocationAddressCityName": "PALM SPRINGS",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92262-4414",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "760-327-7900",
    "PracticeLocationAddressFaxNumber": "760-327-7905",
    "EnumerationDate": "04/19/2010",
    "LastUpdateDate": "05/21/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "19698",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "500829",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.