AMANDA WEAVER (NPI# 1326198862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326198862 |
| Entity Type | Individual |
| Full Name | AMANDA WEAVER |
| Credential | MMS, PA-C, MS, ATC |
| Practice Address |
1220 Reserve Way #306 Naples FL 34105 |
| Mailing Address |
1220 Reserve Way #306 Naples FL 34105-3815 |
| Practice Telephone | 2396822332 |
| Mailing Telephone | 2396822332 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2018-07-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL 1743 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 363A00000X | Physician Assistant | PA9111111 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427603836 | Amanda Weaver | Nurse Practitioner | 4731 Clairemont Dr Unit 100, San Diego, CA 92117-2743 | 2019-08-03 |
| 1669840070 | Amanda Weaver | Occupational Therapist | 12604 Windy Ridge Dr Nw, Mount Savage, MD 21545-1438 | 2015-09-02 |
| 1821136094 | Amanda Joyce Weaver | Audiologist | 740 Hospital Dr Ste 300, Beaumont, TX 77701-4666 | 2007-02-01 |
| 1295350999 | Amanda Elizabeth Weaver | Family Medicine | 1600 Providence Dr, Waco, TX 76707-2261 | 2020-06-09 |
| 1790340016 | Amanda Kay Weaver | Speech-Language Pathologist | 214 Commercial St, Malden, MA 02148-6716 | 2019-05-02 |
| 1104371046 | Amanda Weaver | Counselor | 10 W Madison St, #11, Baltimore, MD 21201-5239 | 2016-08-21 |
| 1023474012 | Amanda G Weaver | Nurse Anesthetist, Certified Registered | 4665 Douglas Cir Nw, #100, Canton, OH 44718 | 2016-01-07 |
| 1801130646 | Amanda Christine Weaver | Case Manager/Care Coordinator | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2012-11-17 |
| 1811912652 | Amanda Morgan Weaver | Counselor | 2508 Se 20th St, Bentonville, AR 72712-4008 | 2006-07-13 |
| Street Address |
1220 RESERVE WAY #306 |
| City | NAPLES |
| State | FL |
| Zip Code | 34105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346593647 | Derek Paul Wimmer | Physician Assistant | 1410 Mariposa Circle #105, Naples, FL 34105 | 2012-10-24 |
| 1851522007 | Excel Physical Therapy of Naples, Inc. | Physical Therapist | 13020 Livingston Rd., Suite #9, Naples, FL 34105 | 2009-08-06 |
| 1902057235 | Dewayne Lockhart Jr. | Anesthesiology | 3555 Kraft Rd Suite 120, Naples, FL 34105 | 2008-10-06 |
| 1578789830 | John Urban Peters | Family Medicine | 4745 Europa Dr, Naples, FL 34105 | 2007-04-17 |
| 1386799534 | Suncoast Dental Center | Dentist | 13040 Livingston Rd Suite 3, Naples, FL 34105 | 2007-01-25 |
| 1093813669 | Jeffrey Michael Rosenfield | Emergency Medicine | 13030 Livingston Road, Suite 3, Naples, FL 34105 | 2006-09-20 |
| 1871916486 | Anik Lauzon | Physical Therapist | 13020 Livingston Rd, #9, Naples, FL 34105 | 2014-02-03 |
| 1578581773 | Mark Goldstein | Internal Medicine | 132 Moorings Park Dr, Naples, FL 34105 | 2006-07-17 |
| 1851454094 | Moorings Park Community Health | Clinic/Center | 111 Moorings Park Dr, Naples, FL 34105-2118 | 2006-12-19 |
| 1932134020 | Gustavo Medina | Physical Medicine & Rehabilitation | 130 Moorings Park Dr, Naples, FL 34105-2122 | 2006-07-11 |
| Find all providers in zip 34105 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575479 | Cristina Marie Lago | Physician Assistant | 2325 Stanford Ct, Naples, FL 34112-4813 | 2020-10-14 |
| 1497375075 | Daniela Herrera Ceballos | Physician Assistant | 7943 Haven Dr Unit 1, Naples, FL 34104-5979 | 2020-04-23 |
| 1215587340 | Aida Brax | Physician Assistant | 13005 Collier Blvd, Naples, FL 34116-4003 | 2019-09-20 |
| 1568931335 | Jonathan Fletcher Michaelis | Physician Assistant | 13020 Livingston Rd Ste 14, Naples, FL 34105-5023 | 2018-11-21 |
| 1669971412 | Chelsea Allan | Physician Assistant | 848 1st Ave N Ste 100, Naples, FL 34102-6063 | 2018-02-07 |
| 1336659622 | Miriam Albritton | Physician Assistant | 1201 Piper Blvd Ste 24, Naples, FL 34110-1385 | 2017-10-02 |
| 1821455262 | Laura Khawaja | Physician Assistant | 7069 Lone Oak Blvd, Naples, FL 34109-8875 | 2016-01-15 |
| 1225429889 | Maria Francesca Zampogna Wilson | Physician Assistant | 6400 Davis Blvd Ste 203, Naples, FL 34104-5321 | 2015-02-17 |
| 1972906113 | Kellie Jo Dunlap | Physician Assistant | 830 105th Ave N, Naples, FL 34108-1844 | 2014-10-02 |
| 1902208077 | Bogdan-gabriel Cozmuta | Physician Assistant | 400 8th Street North, Naples, FL 34102-7906 | 2014-09-20 |
| Find all providers in NAPLES | ||||
Please comment or provide details below to improve the information on AMANDA WEAVER.
| 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.