KATHLEEN KELLI WEAVER


Address: 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954
Phone: 3173387780

KATHLEEN KELLI WEAVER (NPI# 1811425382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811425382
Entity Type Individual
Full Name KATHLEEN KELLI WEAVER
Credential NP
Practice Address 8424 Naab Rd Ste 1l
Indianapolis
IN 46260-1954
Mailing Address Po Box 12812
Belfast
ME 04915-4040
Practice Telephone 3173387780
Enumeration Date 2017-05-30
Last Update Date 2017-08-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
71007306A IN Physician Assistants & Advanced Practice Nursing Providers
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
71007306A IN Physician Assistants & Advanced Practice Nursing Providers

Other Providers KATHLEEN WEAVER

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1821611997 Kathleen T Weaver Social Worker 2001 Palm Beach Lakes Blvd Ste 300b, West Palm Beach, FL 33409-6515 2020-05-24
1801039698 Kathleen Weaver Specialist 400 Saint Luke Dr, Lititz, PA 17543-2208 2009-04-09
1376748491 Kathleen M Weaver Orthopaedic Surgery 626 E Summit St, Suite B, Mexico, MO 65265-3298 2007-06-19
1215036991 Kathleen R Weaver Counselor 102 E Gambier St, Mount Vernon, OH 43050-3510 2006-09-21
1053772533 Kathleen Ruka Weaver Nurse Practitioner 825 Eastlake Ave E, Seattle, WA 98109-4405 2016-03-11
1902290372 Kathleen Weaver Pharmacist 14955 W 151st St, Olathe, KS 66062-3110 2015-03-24
1457470635 Kathleen Weaver Internal Medicine 600 Ne 92nd Ave, Vancouver, WA 98664-3225 2007-03-28
1689713323 Kathleen Weaver Social Worker 610 E Diamond Ave, Gaithersburg, MD 20877-5321 2007-02-06

Office Location

Street Address 8424 NAAB RD STE 1L
City INDIANAPOLIS
State IN
Zip Code 46260-1954

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942283544 Patrick Joseph Healey Internal Medicine 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 2005-11-29
1154965531 Monica Deryckere Nurse Practitioner 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 2019-10-29
1871149567 Denise Raley Saxman Social Worker 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 2019-08-17
1114407699 Mary Katherine Molloy Social Worker 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 2018-08-15
1144707969 Cristina Helena Davis Nurse Practitioner 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 2018-07-24
1285087676 Kristin Keller Nurse Practitioner 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 2016-07-20
1164889713 Cheryl Warriner Social Worker 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 2016-01-26
1689063984 Kelly Freeman Nurse Practitioner 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 2015-01-10
1366718405 Staci L Hollar Internal Medicine 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 2012-03-22
1598074692 Danielle L Davis Nurse Practitioner 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 2010-10-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508478298 Verity Smile Studio, LLC Clinic/Center 1619 W. 86th St Suite B, Indianapolis, IN 46260 2020-08-23
1225666589 Alexander Michael Kiel Student in an Organized Health Care Education/Training Program Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 2020-03-31
1043793151 Lisa R Foreman Registered Nurse 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 2018-09-13
1790268399 Esther Muturi Chore Provider 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 2018-09-10
1912483215 Katherine Donnelly Community Health Worker 1612 Lancashire Ct, Indianapolis, IN 46260 2018-07-19
1326539628 Peaceful Source Midwifery LLC Advanced Practice Midwife 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 2018-05-22
1144722695 Mindful Services Center LLC Clinic/Center 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 2018-03-01
1144731910 Meenu Jain Student in an Organized Health Care Education/Training Program Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 2017-10-19
1609392422 1717 Senior Living, LLC Assisted Living Facility 1703 West 86th Street, Indianapolis, IN 46260 2017-08-15
1093246985 Royalty Transports LLC Bus 2255 W. 67th St., Indianapolis, IN 46260 2017-03-23
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1417567249 Sarah E Munson Nurse Practitioner 1633 N Capitol Ave Ste 680, Indianapolis, IN 46202-1281 2020-08-06
1750844890 Sarah Kathleen Cherry Nurse Practitioner 4326 Maldenhair Dr, Indianapolis, IN 46239-9033 2019-04-06
1184103459 Katherine Rose Ahaus Nurse Practitioner 1801 Senate Blvd Ste 230, Indianapolis, IN 46202-1252 2018-08-08
1386197770 Masita Isabel Poray Nurse Practitioner 5435 E 16th St Ste 500, Indianapolis, IN 46218-4869 2016-08-02
1316370612 Paradigm Living Concepts, LLC Nurse Practitioner 8904 Bash St Ste B, Indianapolis, IN 46256-1286 2013-08-10
1902414709 Michelle Nicole Gibson Nurse Practitioner 1801 N Senate Blvd, Indianapolis, IN 46202-1228 2020-07-17
1467081455 Sarah Elizabeth Wheeler Nurse Practitioner 1801 N Senate Blvd Ste 635, Indianapolis, IN 46202-1212 2020-04-02
1154965531 Monica Deryckere Nurse Practitioner 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 2019-10-29
1699318592 Marcy Penrod Nurse Practitioner 8333 Naab Rd, Indianapolis, IN 46260-5924 2019-10-23
1124677000 Amanda Marie Mccoy Ignaut Nurse Practitioner 1402 E County Line Rd, Indianapolis, IN 46227-0963 2019-09-04
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Competitor

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City INDIANAPOLIS
Zip Code 46260

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Dataset Information

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.

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