Active NPI
Azalea Daquisha-Lynn Weaver
- Nurse's Aide
- Avoca, NE
National Provider Identifier
1033915905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 164554
- Practice address
- 206 S Highway 50
Avoca, NE 68307-2014 - Phone
- (402) 969-0350
- NPI assigned
- Feb 21, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 164554 | NE | Primary |
Addresses
Primary practice location
206 S Highway 50
Avoca, NE 68307-2014
Mailing address
206 S Highway 50
Avoca, NE 68307-2014
Phone (402) 969-0350
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | azyweaver15@gmail.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164554 | NE | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740096000000",
"number": "1033915905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 S HIGHWAY 50",
"city": "AVOCA",
"state": "NE",
"postal_code": "683072014",
"telephone_number": "402-969-0350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 S HIGHWAY 50",
"city": "AVOCA",
"state": "NE",
"postal_code": "683072014",
"telephone_number": "402-969-0350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "AZALEA",
"middle_name": "DAQUISHA-LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-21",
"last_updated": "2025-02-21",
"certification_date": "2025-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "NE",
"license": "164554",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "azyweaver15@gmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "206 S Highway 50",
"city": "Avoca",
"state": "NE",
"country_code": "US",
"postal_code": "683072014",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Avoca, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.