Active NPI
Lauren N Weaver, P.A.
- Physician Assistant
- Boulder, CO
National Provider Identifier
1073887121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.0007640
- Practice address
- 4745 Arapahoe Ave Ste 110
Boulder, CO 80303-1082 - Phone
- (303) 444-5110
- Fax
- (303) 444-7457
- NPI assigned
- Mar 6, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.0007640 | CO | Primary |
Addresses
Primary practice location
4745 Arapahoe Ave Ste 110
Boulder, CO 80303-1082
Mailing address
4745 Arapahoe Ave Ste 110
Boulder, CO 80303-1082
Phone (303) 444-5110
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.0007640 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cchmd Corp | Past | Accepting new patients |
Interoperability endpoints
- lweaver278329@hisp.ehr.sutterhealth.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1073887121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4745 ARAPAHOE AVE STE 110",
"city": "BOULDER",
"state": "CO",
"postal_code": "803031082",
"telephone_number": "303-444-5110",
"fax_number": "303-444-7457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4745 ARAPAHOE AVE STE 110",
"city": "BOULDER",
"state": "CO",
"postal_code": "803031082",
"telephone_number": "303-444-5110",
"fax_number": "303-444-7457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "LAUREN",
"middle_name": "N",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-06",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0007640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.