Individual provider Active NPI

Dicia Jane Weaver, APRN-CNP

  • Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1144860065
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.026095 Issued in OH
Practice address
460 W 10TH Ave
Columbus, OH 43210-1240
Phone
(614) 293-3230
Fax
(614) 293-4030
NPI assigned
Jan 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.026095 OH
Nurse Practitioner 363L00000X APRN.CNP.026095 OH Primary

Addresses

Primary practice location

460 W 10TH Ave
Columbus, OH 43210-1240

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-3230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250922000478 OH Practitioner - Nurse Practitioner 1456855469 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

236 5TH Ave
FL 4
New York, NY 10001-7737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.026095OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifemd Atlantic Patient Medical Care PC Nurse Practitioner CurrentSince Aug 8, 2025 Accepting new patients
Lifemd South Central Patient Medical Care PA Nurse Practitioner CurrentSince Aug 18, 2025 Accepting new patients
Lifemd Midwest Patient Medical Care PC Nurse Practitioner CurrentSince Aug 18, 2025 Accepting new patients
Puopolo MD PC Nurse Practitioner CurrentSince Aug 18, 2025 Accepting new patients
Lifemd Kansas Patient Medical Care PA Nurse Practitioner CurrentSince Aug 8, 2025 Accepting new patients
Lifemd Southern Patient Medical Care PC Nurse Practitioner CurrentSince Oct 15, 2025 Accepting new patients
New York Patient Medical Care PC CurrentSince Aug 31, 2025 Accepting new patients
Lifemd New England Patient Medical Care PA CurrentSince Aug 18, 2025 Accepting new patients

Locations

12100 Wilshire Blvd
Ste 800
Los Angeles, CA 90025
Phone (310) 383-6610

3455 Peachtree Rd NE
Fl 5
Atlanta, GA 30326
Phone (336) 312-6837

875 N Michigan Ave
Fl 31
Chicago, IL 60611
Phone (312) 794-7730

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

100 W Big Beaver Rd
Ste 200
Troy, MI 48084
Phone (248) 552-8195

445 Minnesota St
Ste 1500
Saint Paul, MN 55101
Phone (612) 532-7105

525 N Tryon St
Ste 1600
Charlotte, NC 28202
Phone (855) 478-8208

236 5th Ave
Fl 4
New York, NY 10001
Phone (212) 686-0587

236 5th Ave
Ste 400
New York, NY 10001
Phone (866) 351-5907

21 E State St
Ste 200
Columbus, OH 43215
Phone (203) 568-6065

325 N Saint Paul St
Ste 3100
Dallas, TX 75201
Phone (203) 747-8696

999 Waterside Dr
Ste 2600
Norfolk, VA 23510
Phone (202) 766-7689

506 2nd Ave
Ste 1400
Seattle, WA 98104
Phone (206) 486-8077

Organizations & group practices 8

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": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1144860065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-293-3230",
            "fax_number": "614-293-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 W 10TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101240",
            "telephone_number": "614-293-3230",
            "fax_number": "614-293-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "DICIA",
        "middle_name": "JANE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.026095",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.026095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.