KEVIN WEAVER (NPI# 1154711596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154711596 |
| Entity Type | Individual |
| Full Name | KEVIN WEAVER |
| Credential | NP |
| Practice Address |
4201 Campus Ridge Dr Ste 3100 Midland MI 48640-6135 |
| Mailing Address |
4201 Campus Ridge Drive Midland MI 48640 |
| Practice Telephone | 9894885410 |
| Practice Fax Number | 9894885411 |
| Mailing Telephone | (989) 488-5410 |
| Mailing Fax Number | 9894885411 |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2017-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704270679 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225492929 | Kevin Weaver Jr. | Pediatrics | #1 Children's Way, Slot Ach 512-19a, Little Rock, AR 72202 | 2016-04-08 |
| 1457750051 | Kevin Weaver | Counselor | 846 W 35th St, Norfolk, VA 23508-3011 | 2014-08-19 |
| 1174657134 | Kevin Weaver | Psychologist | 1001 E Griswold Rd Unit 20, Phoenix, AZ 85020-3777 | 2007-03-14 |
| 1851475974 | Kevin C Weaver | Physical Therapist | 12 E 97th St # 1c, New York, NY 10029-6918 | 2006-10-25 |
| 1376073189 | Kevin Weaver | Counselor | 775 South Bonner Street, Ruston, LA 71270 | 2017-06-14 |
| 1043585128 | Kevin Weaver | Social Worker | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2012-03-21 |
| 1154353811 | Kevin Weaver | Emergency Medicine | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2006-07-06 |
| 1487693784 | Kevin L. Weaver | Specialist | 6606 Lbj Fwy, Suite 200, Dallas, TX 75240-6533 | 2006-06-05 |
| 1447244009 | Kevin M Weaver | Family Medicine | 555 Herndon Pkwy, Ste 100, Herndon, VA 20170-5276 | 2005-09-09 |
| Street Address |
4201 CAMPUS RIDGE DR STE 3100 |
| City | MIDLAND |
| State | MI |
| Zip Code | 48640-6135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366422859 | Robert N. Jones | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4201 Campus Ridge Dr Ste 3100, Midland, MI 48640-6135 | 2006-01-19 |
| 1396389136 | Beth Spiris | Nurse Practitioner | 4201 Campus Ridge Dr Ste 3100, Midland, MI 48640-6135 | 2019-11-05 |
| 1053745257 | Rachael Dawn Christianson | Registered Nurse | 4201 Campus Ridge Dr Ste 3100, Midland, MI 48640-6135 | 2013-08-25 |
| 1710210679 | William Michael Plaza Mellana Jr. | Internal Medicine | 4201 Campus Ridge Dr Ste 3100, Midland, MI 48670 | 2009-09-10 |
| 1992996938 | Beth A Sheridan | Registered Nurse | 4201 Campus Ridge Dr Ste 3100, Midland, MI 48640-6135 | 2007-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481260 | Sdpa Management Pllc | Dentist | 4915 Jefferson Ave., Midland, MI 48640 | 2020-03-11 |
| 1598237364 | Michelle Marie Arthur | Occupational Therapist | 3007 North Saginaw Rd, Midland, MI 48640 | 2018-12-18 |
| 1295202349 | Personal Assistance Options | Private Vehicle | 1509 Washington Street, Suite C, Midland, MI 48640 | 2018-10-26 |
| 1972094720 | Ashley E Cline | Technician, Other | 5405 Oakridge Dr., Midland, MI 48640 | 2018-05-27 |
| 1669963898 | Hope Richelle Walker | Social Worker | 396 S 9 Mile Rd, Midland, MI 48640 | 2018-05-23 |
| 1568964807 | David Isaac Bearss | Physical Therapist | 4401 Campus Ridge Drive, Suite 1000, Midland, MI 48640 | 2018-03-02 |
| 1295237741 | Ashley Michelle Ghose | Physical Therapist | 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 | 2018-03-01 |
| 1801306055 | Elizabeth Diana Dickerson | Social Worker | 218 Fast Lane Drive, Midland, MI 48640 | 2017-10-02 |
| 1528502275 | Sheila Jensen | Behavior Technician | 248 E Dopp Rd, Midland, MI 48640 | 2016-12-15 |
| 1518328657 | Becky Staudacher | Technician, Other | 707 Mill St, Midland, MI 48640 | 2016-03-17 |
| Find all providers in zip 48640 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285250183 | Ashley Nicole Gonzales | Nurse Practitioner | 2200 W Wadley Ave Ste 10, Midland, TX 79705-6405 | 2020-06-17 |
| 1700408242 | Tammy Elizabeth Chambers | Nurse Practitioner | 2660 W Sugnet Rd, Midland, MI 48640-2647 | 2020-05-07 |
| 1881173151 | Mh Health Care Services, PC | Nurse Practitioner | 413 Veterans Airpark Lane, Suite 1,400, Midland, TX 79705 | 2018-08-08 |
| 1720590128 | Jane Brines | Nurse Practitioner | 5310 Perrine Rd, Midland, MI 48640-3111 | 2017-10-25 |
| 1447788658 | Alison Marie Funka | Nurse Practitioner | 4320 Campus Ridge Dr, Midland, MI 48640-6104 | 2017-06-01 |
| 1528519956 | Maria Horton | Nurse Practitioner | 4503 Hancock Dr, Midland, MI 48642-5893 | 2016-10-20 |
| 1326215609 | Greg Womack Holmes | Nurse Practitioner | 5515 Rio Grande Ave, Midland, TX 79707-9701 | 2008-05-14 |
| 1003970856 | Lisa Lynette Miller | Nurse Practitioner | 4201 Campus Ridge Dr Ste 4000, Midland, MI 48640 | 2006-12-19 |
| 1528168242 | Jean M Thiele | Nurse Practitioner | 2121 Rockwell Dr, Midland, MI 48642-9316 | 2006-09-23 |
| 1265413835 | Laura Ann Cralle | Nurse Practitioner | 801 E Florida Ave, Midland, TX 79701-8212 | 2005-11-09 |
| Find all providers in MIDLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.