PATRICIA WEAVER (NPI# 1356456628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356456628 |
| Entity Type | Individual |
| Full Name | PATRICIA WEAVER |
| Practice Address |
999 Cheraw St Bennettsville SC 29512-2420 |
| Mailing Address |
201 S 5th St Hartsville SC 29550-4211 |
| Practice Telephone | 8434792341 |
| Mailing Telephone | 8438570111 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2017-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN1313 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RAILROAD MEDICARE PTAN | P00906535 | 01 |
| SC | NP0466 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215475108 | Patricia Ann Weaver | Registered Nurse | 3089 Lee St Se, Smyrna, GA 30080-4420 | 2017-02-10 |
| 1316239056 | Patricia A Weaver | Registered Nurse | 12044 Se Deerfield Dr, Happy Valley, OR 97086-6467 | 2011-05-13 |
| 1619047727 | Patricia Gillette Weaver | Counselor | 3802 Clemmons Rd # H, Clemmons, NC 27012-8478 | 2006-11-08 |
| 1336627314 | Patricia Anne Weaver | Social Worker | 1300 E Center St, Provo, UT 84606 | 2018-08-01 |
| 1457807703 | Patricia Weaver | Peer Specialist | 627 Ne Evans Street, Mcminnville, OR 97128-3923 | 2016-08-28 |
| 1396962163 | Patricia Mary Weaver | Nurse Practitioner | 1501 S Potomac St, Aurora, CO 80012-5411 | 2007-04-20 |
| 1629116314 | Patricia Trow Weaver | Physician Assistant | 4202 E Fowler Ave, Shs 100, Tampa, FL 33620-9951 | 2007-02-02 |
| 1639232168 | Patricia A Weaver | Family Medicine | 1035 14th Ave N, Nashville, TN 37208-3050 | 2006-12-18 |
| Street Address |
999 CHERAW ST |
| City | BENNETTSVILLE |
| State | SC |
| Zip Code | 29512-2420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457398521 | Caresouth Carolina, Inc | Clinic/Center | 999 Cheraw St, Bennettsville, SC 29512-2420 | 2006-05-31 |
| 1003477373 | Temeka Justine Ruth Green | Counselor | 999 Cheraw St, Bennettsville, SC 29512-2420 | 2019-06-26 |
| 1194284117 | Lauren Small | Nurse Practitioner | 999 Cheraw St, Bennettsville, SC 29512 | 2019-03-19 |
| 1508210501 | Alexia Mckoy | Nurse Practitioner | 999 Cheraw St, Bennettsville, SC 29512-2420 | 2016-04-16 |
| 1679941108 | Caresouth | Pharmacy | 999 Cheraw St, Bennettsville, SC 29512-2420 | 2015-09-15 |
| 1417373986 | Jana Ebbert | Family Medicine | 999 Cheraw St, Bennettsville, SC 29512-2420 | 2014-03-08 |
| 1992812655 | Vicky Peterkin | Social Worker | 999 Cheraw St, Bennettsville, SC 29512-2420 | 2006-08-25 |
| 1467565515 | Rufus Haynes Cain | Family Medicine | 999 Cheraw St, Bennettsville, SC 29512-2420 | 2006-08-15 |
| 1407882871 | Anna M Duncan | Family Medicine | 999 Cheraw St, Bennettsville, SC 29512-2420 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861841371 | Anna Paige Paul | Counselor | 1035 Cherau St, Bennettsville, SC 29512 | 2016-06-06 |
| 1821468679 | Kristen Dana Oliver | Social Worker | 1035 Cherow St., Bennettsville, SC 29512 | 2015-10-05 |
| 1285022749 | 3-points Coastal Care,llc | Community/Behavioral Health | 1300 West Main St, Bennettsville, SC 29512 | 2015-01-06 |
| 1437572328 | Terri Cardenas Woodham | Pharmacist | 336 Highway 9 West, Bennettsville, SC 29512 | 2014-01-28 |
| 1851712533 | Amy Kessler | Pharmacist | 336 Hwy 9 West, Bennettsville, SC 29512 | 2013-12-23 |
| 1346677184 | Daniel Louis Lockamy | Counselor | 284 Tatum Rd, Bennettsville, SC 29512 | 2013-10-10 |
| 1164772596 | Melissa Irene Pletan | Pharmacist | 1085 Cottingham Blvd, Ste 3, Bennettsville, SC 29512 | 2012-09-13 |
| 1730440769 | Cigna Onsite Health LLC | Non-Pharmacy Dispensing Site | 2094 Marlboro Rd, Bennettsville, SC 29512 | 2012-06-06 |
| 1649572710 | Ingram Health Service/manna House.inc | Case Management | 211 N Market Street, Bennettsville, SC 29512 | 2010-11-23 |
| 1952564387 | Gregory Wayne Alford | Community Health Worker | 610 State Street Ext, Bennettsville, SC 29512 | 2008-07-07 |
| Find all providers in zip 29512 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962991976 | Latasha Morrison | Nurse Practitioner | 210 Lombardy Dr, Bennettsville, SC 29512-2742 | 2018-05-04 |
| 1790327120 | Caresouth Carolina Inc | Nurse Practitioner | 100 Matheson St, Bennettsville, SC 29512-4034 | 2019-10-17 |
| 1194284117 | Lauren Small | Nurse Practitioner | 999 Cheraw St, Bennettsville, SC 29512 | 2019-03-19 |
| 1508398835 | Gina M. B. Goddard | Nurse Practitioner | 913 Oakwood St, Bennettsville, SC 29512-2459 | 2017-03-27 |
| 1508210501 | Alexia Mckoy | Nurse Practitioner | 999 Cheraw St, Bennettsville, SC 29512-2420 | 2016-04-16 |
| 1497134852 | Mcleod Physician Associates II | Nurse Practitioner | 1040 Marlboro Way, Suite 1, Bennettsville, SC 29512-2494 | 2015-05-19 |
| 1174630826 | Julia Veretta James | Nurse Practitioner | 1040 Marlboro Way, Suite 1, Bennettsville, SC 29512-2494 | 2006-08-25 |
| 1275646358 | Donna Gail Cain | Nurse Practitioner | 957 Cheraw St, Bennettsville, SC 29512-2420 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557737 | Diondra Johnson | Nurse Practitioner | 2327 Watchtower Ln, Charleston, SC 29414-7803 | 2020-10-27 |
| 1740888262 | Gerri Kukucka | Nurse Practitioner | 18 Ash Ct, Irmo, SC 29063-9584 | 2020-10-16 |
| 1407454853 | William Andrew Haislip | Nurse Practitioner | 109 Anita St, Greer, SC 29651-3814 | 2020-10-16 |
| 1912505652 | Mattison Williams Craig | Nurse Practitioner | 108 Woodstock Ln, Greer, SC 29650-3918 | 2020-10-14 |
| 1669079901 | Kelley Brown Davis | Nurse Practitioner | 2689 Us-1, Elgin, SC 29045 | 2020-10-08 |
| 1518564897 | Erica Odom Mccumbers | Nurse Practitioner | 17 Downing Cir, Gilbert, SC 29054-8483 | 2020-10-08 |
| 1285231845 | Shannon Marie Dunlap | Nurse Practitioner | 3792 Home Branch Rd, Manning, SC 29102-4109 | 2020-10-07 |
| 1588261325 | Crystal Leopard | Nurse Practitioner | 328 Deer Creek Rd, Easley, SC 29640-7615 | 2020-10-05 |
| 1497352595 | Margaret Ann Regnery | Nurse Practitioner | 900 Island Park Dr Ste 104, Daniel Island, SC 29492-7560 | 2020-10-02 |
| 1417564709 | John P Rainchuso | Nurse Practitioner | 299 Three Runs Creek Way, Aiken, SC 29803-1680 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | BENNETTSVILLE |
| Zip Code | 29512 |
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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.