Amanda D Weaver, CPHT, RPT, PMP

Primary specialty

Technician/TechnologistTaxonomy code 156F00000X

License

RPT2657 Issued in FL

Practice address

249 Silver Myrtle CT
Saint Augustine, FL 32092-0140

Phone

(954) 701-4242

NPI assigned

Sep 22, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1114899960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 SILVER MYRTLE CT",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320920140",
            "telephone_number": "954-701-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 SILVER MYRTLE CT",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320920140",
            "telephone_number": "954-701-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "AMANDA",
        "middle_name": "D",
        "credential": "CPHT, RPT, PMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "FL",
            "license": "RPT2657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Technician/Technologist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Technician/Technologist in Florida

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

Verify at the official NPI Registry.