{"npi":"1598144404","type":"NPI-1","status":"active","name":{"display":"Dr. Nicholas Welter MD","other":[],"first":"NICHOLAS","last":"WELTER","middle":"C","credential":"MD"},"specialty":{"primary_taxonomy":"207QS0010X","primary_taxonomy_description":"Sports Medicine (Family Medicine) Physician","slug":"sports-medicine-family-medicine-physician","schema_org_specialty":null,"all":[{"code":"207QS0010X","description":"Sports Medicine (Family Medicine) Physician","primary":false,"state":"OR","license":"MD188298"},{"code":"207QS0010X","description":"Sports Medicine (Family Medicine) Physician","primary":true,"state":"WA","license":"MD61505880"},{"code":"207Q00000X","description":"Family Medicine","primary":false,"state":"WA","license":"MD61505880"}]},"addresses":[{"purpose":"LOCATION","street_1":"9230 SKY ISLAND DR E","city":"BONNEY LAKE","state":"WA","postal_code":"983917385","country_code":"US","phone":"2537506000","fax":"2537506100"},{"purpose":"MAILING","street_1":"9230 SKY ISLAND DR E","city":"BONNEY LAKE","state":"WA","postal_code":"983917385","country_code":"US","phone":"2537506000","fax":"2537506100"}],"license":{"state":"WA","number":"MD61505880"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"2104658","state":"WA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20240530002457","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"WA","pac_id":"0345552485"}]},"enumeration_date":"2015-05-26","last_updated":"2024-08-15","_meta":{"source":"NPPES","snapshot_date":"2024-08-15","doc_url":"https://findmynpi.com/api"}}