Katanya Weaver

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

RN195491 Issued in AZ

Practice address

12624 N 58TH Dr
Glendale, AZ 85304-1894

Phone

(314) 718-2790

NPI assigned

Jan 8, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1023606571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12624 N 58TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041894",
            "telephone_number": "314-718-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12624 N 58TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041894",
            "telephone_number": "314-718-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "KATANYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "AZ",
            "license": "RN195491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Weathersby Chiropractic
• Neuel Edwin Weathersby, D.C.
• Yvonne Weaver-Hafner
• Cynthia Weaver
• Elizabeth Irene Weaver, RN
• Ashley Webb
• Erica Webb
• Erin Elizabeth Webb, M.D.
• Madison Marie Webb, SLPA
• Ann Marie Webster, PT

• Community Health Registered Nurse in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Community Health Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.