Weaver LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

WEAVER LLC

Practice address

1611 Maple Ave
Twin Falls, ID 83301-6644

Phone

(208) 731-3789

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Karen M Martinat, LMSW

Title

Member

Phone

(208) 731-3789

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043426414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 MAPLE AVE",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016644",
            "telephone_number": "208-731-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 MAPLE AVE",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016644",
            "telephone_number": "208-731-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEAVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTINAT",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "208-731-3789",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8055125",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin James Watson, NP
• Michael John Watson, PHARMD
• Scott B Wayment, OD
• Tyler R Wayment, M.D.
• WDB, Inc.
• Amanda L Weaver, NURSE PRACTITIONER
• Amy Weaver
• Brian Weaver, PHARM D
• Logan Weaver
• Michael John Weaver, MD

• Case Management Agency in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Case Management Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.