Kevin Dexter Weaver

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

1412 Trinidad Ave NE
Washington, DC 20002-2812

Phone

(202) 399-6698

NPI assigned

Dec 29, 2021

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1023778222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4219 EADS ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200193440",
            "telephone_number": "202-415-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 TRINIDAD AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200022812",
            "telephone_number": "202-399-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "KEVIN",
        "middle_name": "DEXTER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Austin Weaver, MD
• Chimere Weaver
• Cordell Weaver
• Erica Weaver
• Kelly Weaver, CPNP-PC
• Lasonya Helen Weaver, PCA
• Latonya Helen Weaver, PCA
• Molly Dream Weaver, LGPC
• Nina Kristine Weaver
• Pamela Elise Weaver

• Personal Care Attendant in Washington, DC
• Providers in Washington, DC by specialty
• Personal Care Attendant in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.