David Wayne Weller, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

13720 Issued in CA

Practice address

1673 Columbus Rd
West Sacramento, CA 95691-4902

Phone

(916) 813-9333

Fax

(916) 374-0340

NPI assigned

Feb 27, 2008

Last updated

Feb 27, 2008By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1033388723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1673 COLUMBUS RD",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956914902",
            "telephone_number": "916-813-9333",
            "fax_number": "916-374-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1673 COLUMBUS RD",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956914902",
            "telephone_number": "916-813-9333",
            "fax_number": "916-374-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLER",
        "first_name": "DAVID",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "13720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC",
            "identifier": "0376959-22",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josiah Webb
• Laura Weigel, BCBA
• Chloe Rose Weight
• Barbara Ann Welcher, NURSE PRACTITIONER
• Valerie Welk, MA
• Wellspace Health
• West Sac Medical Group Inc (West Sacramento Urgent Care)
• West Sacramento Dialysis LLC (West Sacramento Dialysis Center)
• West Sacramento Nursing and Rehabilitation Center
• West Sacramento Primary Care Inc. (West Sacramento Primary Care)

• Family Nurse Practitioner in West Sacramento, CA
• Providers in West Sacramento, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.