MEGAN RAE WEAVER (NPI# 1376880120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376880120 |
Entity Type | Individual |
Full Name | MEGAN RAE WEAVER |
Credential | CADC IN TRAINING |
Practice Address |
63311 Jamison St Bend OR 97703-8288 |
Mailing Address |
2577 Ne Courtney Dr Bend OR 97701-7752 |
Practice Telephone | 5413227500 |
Practice Fax Number | 5413227565 |
Mailing Telephone | 5413227500 |
Mailing Fax Number | 5413227565 |
Enumeration Date | 2013-01-14 |
Last Update Date | 2020-09-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
14-03-24 | OR | Behavioral Health & Social Service Providers |
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
N | 171M00000X | Case Manager/Care Coordinator | 14-03-24 | OR | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 195164 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
2577 Ne Courtney Dr, Bend, OR 97701 | 5413227500 | 5413227565 |
58646 Mcnulty Way, Saint Helens, OR 970516210 | 5033975211 | 5033975373 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184193427 | Megan M Weaver | Registered Nurse | 1215 E Chapman Ave Ste 10, Orange, CA 92866-2237 | 2018-11-15 |
1588144828 | Megan Hope Weaver | Speech-Language Pathologist | 1101 Reba Macentire Ln, Denison, TX 75020-9059 | 2018-08-16 |
1437579141 | Megan Weaver | Speech-Language Pathologist | 7608 E 91st St, Tulsa, OK 74133-6014 | 2014-04-21 |
1457633786 | Megan C Weaver | Nurse Practitioner | 7979 N Shadeland Ave, Ste 200, Indianapolis, IN 46250-2042 | 2011-09-13 |
1538493028 | Megan Elysse Weaver | Physician Assistant | 8775 Norwin Ave, North Huntingdon, PA 15642-2718 | 2009-09-30 |
Street Address |
63311 JAMISON ST |
City | BEND |
State | OR |
Zip Code | 97703-8288 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457950115 | Steven M Simpson | Counselor | 63311 Jamison St, Bend, OR 97703-8288 | 2020-10-22 |
1174130645 | John Stewart | Counselor | 63311 Jamison St, Bend, OR 97703-8288 | 2020-09-28 |
1295349637 | Melissa Myers | Case Manager/Care Coordinator | 63311 Jamison St, Bend, OR 97703-8288 | 2020-09-02 |
1811500762 | Krista Dawn Brown | Peer Specialist | 63311 Jamison St, Bend, OR 97703-8288 | 2020-08-28 |
1619589918 | Meghan Patricia Monfort | Peer Specialist | 63311 Jamison St, Bend, OR 97703-8288 | 2020-08-18 |
1275142929 | Robyn Nicole Jory Steuber | Social Worker | 63311 Jamison St, Bend, OR 97703-8288 | 2020-07-29 |
1114545787 | Charles Joseph Dezort | Peer Specialist | 63311 Jamison St, Bend, OR 97703-8288 | 2020-07-10 |
1295359461 | Marisa Lee Donnelly | Peer Specialist | 63311 Jamison St, Bend, OR 97703-8288 | 2020-06-03 |
1174094890 | Georgia Glazebrook | Counselor | 63311 Jamison St, Bend, OR 97703-8288 | 2018-12-06 |
1316364268 | Susan Laura Denight | Social Worker | 63311 Jamison St, Bend, OR 97703-8288 | 2014-03-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285250704 | Elizabeth Jane Lindt | Counselor | 63311 Jamison Street, Bend, OR 97703 | 2020-06-20 |
1790318145 | Leah Alice Williamson | Counselor | 118 Nw Thurston Ave, Bend, OR 97703 | 2020-02-13 |
1831658301 | Pretty Moments Lingerie, LLC | Durable Medical Equipment & Medical Supplies | 63455 N Hwy 97 Suite 44, Bend, OR 97703 | 2019-03-14 |
1821561150 | Kevin Hallmeyer | Chiropractor | 750 Nw Charbonneau St., Suite 101, Bend, OR 97703 | 2019-01-09 |
1346743267 | Jesse Maggie Mae Abraham | Massage Therapist | 39 Nw Lousiana Ave, Bend, OR 97703 | 2018-03-16 |
1891202396 | Jerod Paul Michael | Speech-Language Pathologist | 2736 Nw Crossing Dr, Ste. 120, Bend, OR 97703 | 2018-01-05 |
1952823023 | Dan Packman | Massage Therapist | 2955 N. Hwy 97, Ste 105, Riverside Wellness, Voila Massage, Bend, OR 97703 | 2017-07-11 |
1023460102 | Brennon Patrick Moore | Counselor | 835 Nw Bond St Ste 100, Bend, OR 97703 | 2016-07-12 |
1093160269 | Eric Hinds | Optometrist | 63455 N Highway 97 Ste 75, Bend, OR 97703 | 2016-04-25 |
1417316191 | Ronald Guiley Od, Mph, PC | Clinic/Center | 63455 N Hwy 97, Ste 75, Bend, OR 97703 | 2016-02-23 |
Find all providers in zip 97703 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720687676 | Bree Burch Counseling LLC | Counselor | 19781 Baneberry Ave, Bend, OR 97702-3360 | 2020-10-21 |
1740897511 | Steve Nathanial Harper | Counselor | 1354 Nw Ithaca Ave, Bend, OR 97703-2223 | 2020-09-25 |
1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
1962028928 | Elizabeth Kay Grotsky | Counselor | 1900 Ne Division St Ste 201, Bend, OR 97701-3572 | 2020-06-24 |
1285250704 | Elizabeth Jane Lindt | Counselor | 63311 Jamison Street, Bend, OR 97703 | 2020-06-20 |
1407472996 | Abigail Kelley | Counselor | 3156 Ne Yellow Ribbon Dr, Bend, OR 97701-7522 | 2020-06-19 |
1932723863 | Chloe Hallock | Counselor | 296 Sw Columbia St Ste D2, Bend, OR 97702-1020 | 2020-06-06 |
1275153983 | Riverbend Family Counseling | Counselor | 300 Se Reed Market Rd Ste 115, Bend, OR 97702-3814 | 2020-04-22 |
1790318145 | Leah Alice Williamson | Counselor | 118 Nw Thurston Ave, Bend, OR 97703 | 2020-02-13 |
1497391197 | Mountain Equinox LLC | Counselor | 1554 Ne 4th St, Bend, OR 97701-4240 | 2019-11-18 |
Find all providers in BEND |
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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.