Kadra Weaver, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810005112 Issued in VA

Practice address

4118 E Parham Rd Ste a
Richmond, VA 23228-2742

Phone

(804) 591-0002

NPI assigned

Nov 19, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kadie Weaver Professional name

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Discovery Counseling and Consulting LLC

  • Multi-Specialty Clinic/Center
  • Henrico, VA
  • NPI 1831475045
  NPD

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1104222132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4118 E PARHAM RD STE A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232282742",
            "telephone_number": "804-591-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4118 E PARHAM RD STE A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232282742",
            "telephone_number": "804-591-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "KADRA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-19",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KADIE",
            "last_name": "WEAVER",
            "credential": "PSYD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Weareone Village Counseling
• Anna Lynn Kostric Weatherford, PHARMD
• Gail McLoda Weatherford, FNP
• Shakeba S Weathers, NP
• John Arthur Weaver, M. D.
• Kelly Egan Weaver, PA-C
• Yvonne Jackson Weaver, M.D.
• Jennie Webb-Wright, M.D.
• Charles Nathan Webb, MD
• Frances McMahon Webb

• Clinical Psychologist in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.